# JACOB SMALL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477550176
- **Gender:** Man
- **Credential:** PHD, ARNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | ME51250 | FL | — |
| 363L00000X | Nurse Practitioner | ARNP2163832 | FL | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 05/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 304943400 | — | FL |