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Mrs. Mini John Jacob, NURSEPRACTITIONER
Family Nurse Practitioner in New Hyde Park, New York
NPI 1073032322

Mini John Jacob is a Family Nurse Practitioner based in New Hyde Park, NY and is specialized in Family. Mini John Jacob practices in New Hyde Park, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Mini John Jacob is 1073032322 and holds a License No. F341923 (New York).

The current practice location address for Mini John Jacob is 705 N 5Th St, New Hyde Park, NY and can be reached out via phone at 516-358-5038.

Location: 705 N 5Th St, New Hyde Park, NY, 11040-2931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073032322
Provider Name
Mini John Jacob
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
705 N 5Th St, New Hyde Park, NY, 11040-2931
Phone Number
516-358-5038
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
705 N 5Th St
City
New Hyde Park
State
New York
Zip
11040-2931
Phone Number
516-358-5038
Fax Number
person
Provider Business Mailing Address Details
Address
705 N 5Th St
City
New Hyde Park
State
New York
Zip
11040-2931
Phone Number
516-358-5038
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F341923 (New York)
Definition
Definition to come...
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