Provider Demographics
NPI:1396423679
Name:JACOBO, ESTEFANI (DNP)
Entity type:Individual
Prefix:
First Name:ESTEFANI
Middle Name:
Last Name:JACOBO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONSULTANTS IN INFECTIOUS DISEASE, LLC
Mailing Address - Street 2:1500 S 48TH STREET, SUITE 506
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1279
Mailing Address - Country:US
Mailing Address - Phone:402-489-1110
Mailing Address - Fax:402-489-8492
Practice Address - Street 1:CONSULTANTS IN INFECTIOUS DISEASE, LLC
Practice Address - Street 2:1500 S 48TH STREET, SUITE 506
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1279
Practice Address - Country:US
Practice Address - Phone:402-489-1110
Practice Address - Fax:402-489-8492
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2025-04-14
Deactivation Date:2024-01-18
Deactivation Code:
Reactivation Date:2025-04-10
Provider Licenses
StateLicense IDTaxonomies
NE114746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily