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

Susan Jacob, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306315130

Susan Jacob, NP is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Dallas County Mental Health and Mental Retardation Center, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
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

4645 Samuell Blvd
Dallas, TX 75228-6826
Phone: (214) 743-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP139784 (TX)

Record details

NPI number1306315130
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 22, 2018
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dallas County Mental Health And Mental Retardation Center — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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