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

Kelli A. Jacob, NP

Individual provider Nurse Practitioner · NPI 1679809933

Kelli A. Jacob, NP is a Nurse Practitioner in Bossier City, Louisiana. Qualified in 2009, 17 years ago. Practices with Northwest Louisiana Nephrology, LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
17
Licensed in
LA
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2300 Hospital Dr Ste 360
Bossier City, LA 71111-2394
Phone: (318) 212-7902
Fax: (318) 212-7905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP05911 (LA)

Record details

NPI number1679809933
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESOctober 27, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Northwest Louisiana Nephrology, Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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