Janice Jacob
Nurse Practitioner, Acute Care in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1265026587
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1265026587
- Entity type
- Individual (NPI-1)
- Name
- Janice Jacob
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | F431773-01 | NY | Yes |
Practice location
919 N 3rd StNew Hyde Park, NY 11040-2833
Phone 516-710-9337
Mailing address
919 N 3rd StNew Hyde Park, NY 11040-2833
Phone 516-710-9337
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All 35 Acute Care Nurse Practitioner providers in New Hyde Park · All 4,864 providers in New Hyde Park
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