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Kimberly Jacob
Family Nurse Practitioner in Greensburg, Pennsylvania
NPI 1356458889

Kimberly Jacob is a Family Nurse Practitioner based in Greensburg, PA and is specialized in Family. Kimberly Jacob practices in Greensburg, PA. The NPI Number for Kimberly Jacob is 1356458889 and holds a License No. VP004352B (Pennsylvania).

The current practice location address for Kimberly Jacob is 1275 South Main Street, Greensburg, PA and can be reached out via phone at 412-561-7246 and via fax at 412-235-4011.

Location: 1275 South Main Street, Greensburg, PA, 15601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356458889
Provider Name
Kimberly Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
1275 South Main Street, Greensburg, PA, 15601
Phone Number
412-561-7246
Fax Number
412-235-4011
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VP004352B 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
1275 South Main Street
City
Greensburg
State
Pennsylvania
Zip
15601
Phone Number
412-561-7246
Fax Number
412-235-4011
person
Provider Business Mailing Address Details
Address
1275 South Main Street
City
Greensburg
State
Pennsylvania
Zip
15601
Phone Number
412-561-7246
Fax Number
412-235-4011
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
VP004352B (Pennsylvania)
Definition
Definition to come...
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