Jeena Jacob PNP

NPI 1073893731 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1073893731
Gender Female
Enumeration Date 08/25/2011
Last Updated 08/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
916 WYNNEWOOD SHP CTR
DALLAS TX, 75224-1833, US
Phone (214) 941-7611
Fax
Business Location
2329 AMESBURY DR
MESQUITE TX, 75150-5805, US
Phone (214) 405-0724
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Texas
License Number 720013
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According to our database, Mrs. Jeena Jacob PNP NPI is 1073893731, taxonomy code is 363LP0200X and license number is 720013, license state is located at Texas. Jeena Jacob PNP physically located at 916 Wynnewood Shp Ctr, Dallas TX, 75224-1833. NPI Number Jeena Jacob PNP has the Individual type.

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1073893731 NPI number is provided on an as is basis without warranty of any kind. 1073893731 is maintained by the National Plan & Provider Enumeration System. The contents of Jeena Jacob PNP are for informational purposes only.