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.
Individual
MARY ANNE JACOB
Active
Individual
MARY ANNE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41934
MN
207VE0102X
Reproductive Endocrinology Physician
41934
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D21JA
BLUE CROSS/BLUE SHIELD
MN
05
—
252025700
—
MN
01
—
HP29251
HEALTH PARTNERS
MN
Enumeration date
03/01/2006
Last updated
04/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up