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Bernice Jana Jacob, FNP
Family Nurse Practitioner in Tustin, California
NPI 1215472949

Bernice Jana Jacob is a Family Nurse Practitioner based in Placentia, CA and is specialized in Family. Bernice Jana Jacob practices in Tustin, CA and has the professional credentials of FNP. The NPI Number for Bernice Jana Jacob is 1215472949 and holds a License No. 95005613 (California).

The current practice location address for Bernice Jana Jacob is 17612 17Th St, Tustin, CA and can be reached out via phone at 714-243-5450.

Location: 17612 17Th St, Tustin, CA, 92870-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215472949
Provider Name
Bernice Jana Jacob
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
17612 17Th St, Tustin, CA, 92870-4716
Phone Number
714-243-5450
Fax Number
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17612 17Th St
City
Tustin
State
California
Zip
92780-1962
Phone Number
714-243-5450
Fax Number
person
Provider Business Mailing Address Details
Address
17612 17Th St
City
Tustin
State
California
Zip
92780-1962
Phone Number
714-243-5450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95005613 (California)
Definition
Definition to come...
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