Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla Jacob

Individual provider School Registered Nurse · NPI 1497063010

Carla Jacob is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2015, 11 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
11
Licensed in
MD, NY
In the registry since
2010
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (347) 268-4390
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R248512 (MD)
School Registered Nurse Taxonomy 163WS0200X · Licence 542089 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340624 (NY)

Record details

NPI number1497063010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2010
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Baltimore