Agnes Jacob, AGNP
Nurse Practitioner, Gerontology in Acton, Massachusetts
1295282481- Practice location
- 3 Westside Dr, Acton, MA 01720-5939
- Phone
- 978-897-5127
- Fax
- —
- Last updated
- September 6, 2016
Agnes Jacob is a Nurse Practitioner, Gerontology based in Acton, MA. Agnes Jacob practices in Acton, MA and has the professional credentials of AGNP. The NPI Number for Agnes Jacob is 1295282481 and holds a License No. RN263919 (MA). The current practice location address for Agnes Jacob is 3 Westside Dr, Acton, MA 01720-5939 and can be reached out via phone at 978-897-5127.
Provider Profile Details
- NPI Number
- 1295282481
- Provider Name
- Agnes Jacob
- Credential
- AGNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3 Westside Dr, Acton, MA 01720-5939
- Phone Number
- 978-897-5127
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 6, 2016
- Last Update Date
- September 6, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Westside Dr
Acton, MA 01720-5939 - City
- Acton
- State
- Massachusetts
- Zip
- 01720-5939
- Phone Number
- 978-897-5127
Provider Business Mailing Address Details
- Address
- 3 Westside Dr
Acton, MA 01720-5939 - City
- Acton
- State
- MA
- Zip
- 01720-5939
- Phone Number
- 978-897-5127
License Information
- License Number (1)
- RN263919
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- RN263919
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agnes Jacob, AGNP?
The NPI number of Agnes Jacob, AGNP is 1295282481. It was assigned on September 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Agnes Jacob, AGNP?
Agnes Jacob, AGNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN263919.
Where does Agnes Jacob, AGNP practice?
The practice location is 3 Westside Dr, Acton, MA 01720-5939. The office can be reached at 978-897-5127 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295282481 directly on the NPPES registry website.