Individual
DR. ALEXIS DANIELLE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10023656
TX
2086S0129X
Vascular Surgery Physician
Primary
77962-20
WI
2086S0129X
Vascular Surgery Physician
N6891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881924819
—
WI
Enumeration date
01/14/2010
Last updated
06/12/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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