person
Kevin Jacob, FNP-BC
Family Nurse Practitioner in New Hyde Park, New York
NPI 1336873587

Kevin Jacob is a Family Nurse Practitioner based in New Hyde Park, NY and is specialized in Family. Kevin Jacob practices in New Hyde Park, NY and has the professional credentials of FNP-BC. The NPI Number for Kevin Jacob is 1336873587 and holds a License No. F350174-01 (New York).

The current practice location address for Kevin Jacob is 34 Paul Ave, New Hyde Park, NY and can be reached out via phone at 718-879-0836.

Location: 34 Paul Ave, New Hyde Park, NY, 11040-3129
person
Provider Profile Details
NPI Number
1336873587
Provider Name
Kevin Jacob
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
34 Paul Ave, New Hyde Park, NY, 11040-3129
Phone Number
718-879-0836
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 Paul Ave
City
State
Zip
11040-3129
Phone Number
718-879-0836
Fax Number
person
Provider Business Mailing Address Details
Address
34 Paul Ave
City
State
Zip
11040-3129
Phone Number
718-879-0836
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F350174-01 (New York)
Definition
Definition to come...
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