Active NPIIndividual provider

Jacob R Nowak, FNP-C

Nurse Practitioner, Family in Southborough, Massachusetts

NPI Number1295647741
Practice location
6 Andrews Way, Southborough, MA 01772-1024
Fax
—
Last updated
October 7, 2026

Jacob Richard Nowak is a Nurse Practitioner, Family based in Southborough, MA. Jacob Richard Nowak practices in Southborough, MA and has the professional credentials of FNP-C. The NPI Number for Jacob Richard Nowak is 1295647741 and holds a License No. RN2356627 (MA). The current practice location address for Jacob Richard Nowak is 6 Andrews Way, Southborough, MA 01772-1024 and can be reached out via phone at 774-262-5700.

Provider Profile Details

NPI Number
1295647741
Provider Name
Jacob Richard Nowak
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
6 Andrews Way, Southborough, MA 01772-1024
Phone Number
774-262-5700
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2026
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Andrews Way
Southborough, MA 01772-1024
Zip
01772-1024
Phone Number
774-262-5700
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
6 Andrews Way
Southborough, MA 01772-1024
City
Southborough
State
MA
Zip
01772-1024
Phone Number
774-262-5700

License Information

License Number (1)
RN2356627
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
RN2356627
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Southborough, MA

View all Nurse Practitioner, Family providers in Southborough →

Frequently Asked Questions

What is the NPI number of Jacob R Nowak, FNP-C?

The NPI number of Jacob R Nowak, FNP-C is 1295647741. It was assigned on September 21, 2026 and is currently active in the NPPES registry.

What is the specialty of Jacob R Nowak, FNP-C?

Jacob R Nowak, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2356627.

Where does Jacob R Nowak, FNP-C practice?

The practice location is 6 Andrews Way, Southborough, MA 01772-1024. The office can be reached at 774-262-5700 (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 1295647741 directly on the NPPES registry website.

Browse related providers