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

Ryan E Jacob, RN

Individual provider Community Health Registered Nurse · NPI 1083351431

Ryan E Jacob, RN is a Community Health Registered Nurse in Las Vegas, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2022
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1200 S 4th St Ste 111
Las Vegas, NV 89104-1046
Phone: (702) 380-8118
Fax: (702) 380-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 E Horizon Dr Ste A, Henderson, NV 89015-8031 — (702) 389-1585

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 849303 (NV)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 849303 (NV)
Infusion Therapy Registered Nurse Taxonomy 163WI0500X · Licence 849303 (NV)

Record details

NPI number1083351431
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address1200 S 4th St Ste 111, Las Vegas, NV 89104-1046

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