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

Mrs. Suja C Jacob, FNP

Individual provider Family Nurse Practitioner · NPI 1649672791

Mrs. Suja C Jacob, FNP is a Nurse Practitioner in Coppell, Texas. Qualified in 2009, 17 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2014
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2999 Olympus Blvd
Coppell, TX 75019-0122
Phone: (469) 647-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP126091 (TX)

Record details

NPI number1649672791
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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 University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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