Tina Lynne Jacobs
NP | Nurse Practitioner
550 S Landmark Ave, Bloomington
Indiana, 47403-3239
812-330-3688
Tina Lynne Jacobs is a Bloomington, Indiana based nurse practitioner. Active license number of Tina Lynne Jacobs is 71002683A in Indiana. Her current practice location is 550 S Landmark Ave, Bloomington. Patients can reach her at 812-330-3688 or can fax her at 812-355-3270. Tina Lynne Jacobs is NP and her NPI number (Unique professional ID assigned by NPPES) is 1457515884.
Tina Lynne Jacobs has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tina Lynne Jacobs speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tina Lynne Jacobs |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 550 S Landmark Ave, Bloomington,
Indiana, 47403-3239 |
| Phone: | 812-330-3688 |
| Fax: | 812-355-3270 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457515884 |
| NPI Enumeration Date: | 15 Jul, 2008 |
| NPI Last Update On: | 29 May, 2013 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tina Lynne Jacobs are as mentioned below.
| License Number | Specialization | State | Status | |
| 71002683A | | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tina Lynne Jacobs such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200903450 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tina Lynne Jacobs
950 N Meridian St, Ste 500 - Provider Enrollment
Indianapolis, Indiana |
| Zip: | 46204-3908 |
| Phone Number: | 317-962-4941 |
| Fax Number: | 317-962-4950 |
Patients can reach Tina Lynne Jacobs at
550 S Landmark Ave, Bloomington, Indiana or can
call to book an appointment on 812-330-3688.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.