Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB SMALL, PHD, ARNP-C
Deactivated Sole ProprietorJACOB SMALL, PHD, ARNP-C is a Nurse Practitioner healthcare provider located in PALMETTO BAY, Florida. NPI 1477550176 is deactivated in the NPPES registry. Verify at CMS.
Nurse Practitioner · PALMETTO BAY, FL
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1477550176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (0.7013698630137 yrs)
- Last Updated
- May 9, 2024
- Deactivated
- Mar 20, 2006
- Licenses
-
ARNP2163832 (FL)ME51250 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13805 SW 78TH CTPALMETTO BAY, FL, 331581109Browse FL providers · Browse ZIP 33158
- Phone
- 3059722614
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- General Surgery
Other Nurse Practitioner Providers in PALMETTO BAY, FL
| Name | Credential | NPI |
|---|---|---|
| ANAY PORTIELES | ARNP | 1104345362 |
| MAYTE MERCEDES UBIETA | APRN | 1922583699 |
| VIRGINIA ELVIRA LOMBARDO | ARNP | 1932779360 |
| MRS. ERNESTEEN BESTMAN GILCHRIST | APRN | 1952106601 |
| FANIA REYES | APRN | 1700681038 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.