Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kassidy Jacobs, NP-C

Individual provider Family Nurse Practitioner · NPI 1740838853

Kassidy Jacobs, NP-C is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Minuteclinic Diagnostic of North Carolina PC, a 207-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone: (866) 389-2727
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5012203 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 277714 (NC)

Record details

NPI number1740838853
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2019
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Minuteclinic Diagnostic Of North Carolina Pc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Raleigh