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

Individual provider Certified Registered Nurse Anesthetist · NPI 1437108867

Sherly C Jacob, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Troy, Michigan. Qualified in 2003, 23 years ago. Practices with Eastside Group LLC, a 35-clinician group. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704210896 (MI)

Record details

NPI number1437108867
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Eastside Group Llc — 35 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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