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Mariamma M Jacob, CPNP
Pediatric Nurse Practitioner in Plano, Texas
NPI 1073863023

Mariamma M Jacob is a Pediatric Nurse Practitioner based in Plano, TX and is specialized in Pediatrics. Mariamma M Jacob practices in Plano, TX and has the professional credentials of CPNP. The NPI Number for Mariamma M Jacob is 1073863023 and holds a License No. 557515 (Texas).

The current practice location address for Mariamma M Jacob is 7800 Preston Rd Ste 300, Plano, TX and can be reached out via phone at 972-608-3800 and via fax at 972-608-3810.

Location: 7800 Preston Rd Ste 300, Plano, TX, 75024-3236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073863023
Provider Name
Mariamma M Jacob
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
7800 Preston Rd Ste 300, Plano, TX, 75024-3236
Phone Number
972-608-3800
Fax Number
972-608-3810
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7800 Preston Rd Ste 300
City
Plano
State
Texas
Zip
75024-3236
Phone Number
972-608-3800
Fax Number
972-608-3810
person
Provider Business Mailing Address Details
Address
7800 Preston Rd Ste 300
City
Plano
State
Texas
Zip
75024-3236
Phone Number
972-608-3800
Fax Number
972-608-3810
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
557515 (Texas)
Definition
Definition to come...
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