person
Jacob Robert Rickoll, NP
Gerontology Nurse Practitioner in New Orleans, Louisiana
NPI 1225665417

Jacob Robert Rickoll is a Gerontology Nurse Practitioner based in New Orleans, LA and is specialized in Gerontology. Jacob Robert Rickoll practices in New Orleans, LA and has the professional credentials of NP. The NPI Number for Jacob Robert Rickoll is 1225665417 and holds a License No. 214020 (Louisiana).

The current practice location address for Jacob Robert Rickoll is 3637 Canal St Ste 100, New Orleans, LA and can be reached out via phone at 504-613-0315 and via fax at 888-498-4941.

Location: 3637 Canal St Ste 100, New Orleans, LA, 70119-6110
person
Provider Profile Details
NPI Number
1225665417
Provider Name
Jacob Robert Rickoll
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3637 Canal St Ste 100, New Orleans, LA, 70119-6110
Phone Number
504-613-0315
Fax Number
888-498-4941
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3637 Canal St Ste 100
City
State
Zip
70119-6110
Phone Number
504-613-0315
Fax Number
888-498-4941
person
Provider Business Mailing Address Details
Address
3637 Canal St Ste 100
City
State
Zip
70119-6110
Phone Number
504-613-0315
Fax Number
888-498-4941
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
214020 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
214020 (Louisiana)
Definition
Definition to come...
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