Renatta Jacobs
Renatta Jacobs is a Nurse Practitioner in Lodi, New Jersey. Qualified in 2020, 6 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
114 Spring StLodi, NJ 07644-3125
Phone: (347) 837-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence F309729 (NY) |
|---|
Record details
| NPI number | 1235725326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2020 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 9, 2020 |
| Mailing address | 114 Spring St, Lodi, NJ 07644-3125 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Icahn School Of Medicine At Mount Sinai — 2791 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |