Individual provider · NPI-1
Jacob Tanner Barb, RN
Registered Nurse, Administrator · Plano, TX
NPI number1508601634
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1508601634
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob Tanner Barb
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2024
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | 255632 | TN | Yes |
| 163W00000X | Registered Nurse | 255632 | TN | |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 255632 | TN | |
| 163WN0002X | Registered Nurse, Neonatal Intensive Care | 255632 | TN | |
| 163WN0003X | Registered Nurse, Neonatal, Low-Risk | 255632 | TN | |
| 163WP0200X | Registered Nurse, Pediatrics | 255632 | TN | |
| 163WP0218X | Registered Nurse, Pediatric Oncology | 255632 | TN | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 255632 | TN | |
| 376G00000X | Nursing Home Administrator | NHA-NHA-LIC-6721 | MT |
Practice location
7950 Legacy Dr Ste 1000Plano, TX 75024-0417
Phone 972-943-6400
Mailing address
7950 Legacy Dr Ste 1000Plano, TX 75024-0417
Phone 972-943-6400
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