NPI 1194440222 · live from the CMS NPI Registry
Lisha Jacob
Nurse Anesthetist, Certified Registered in Dallas, TX. National Provider Identifier 1194440222, active.
NPI record
| NPI | 1194440222 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 6201 Harry Hines Blvd, Dallas, TX 75235 |
| Practice phone | 214-645-8300 |
| Mailing address | 2049 Lake Bend Dr, Irving, TX 75060 |
| Enumerated | October 11, 2022 |
| Last updated | March 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 916213 (TX) |
| Nurse Anesthetist, Certified Registered primary | 367500000X | 1213293 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.