Active NPIIndividual provider

Aleyamma Jacob, FNP

Nurse Practitioner, Family in Pittsfield, Massachusetts

NPI Number1497116255
Practice location
610 North St, Pittsfield, MA 01201-4105
Fax
413-445-9197
Last updated
March 8, 2016

Aleyamma Jacob is a Nurse Practitioner, Family based in Pittsfield, MA. Aleyamma Jacob practices in Pittsfield, MA and has the professional credentials of FNP. The NPI Number for Aleyamma Jacob is 1497116255 and holds a License No. RN247194 (MA). The current practice location address for Aleyamma Jacob is 610 North St, Pittsfield, MA 01201-4105 and can be reached out via phone at 413-447-2684 and via fax at 413-445-9197.

Provider Profile Details

NPI Number
1497116255
Provider Name
Aleyamma Jacob
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
610 North St, Pittsfield, MA 01201-4105
Phone Number
413-447-2684
Fax Number
413-445-9197
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Aleyamma Chacko, FNP (Former Name)
Provider Enumeration Date
March 8, 2016
Last Update Date
March 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 North St
Pittsfield, MA 01201-4105
Zip
01201-4105
Phone Number
413-447-2684
Fax Number
413-445-9197
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
610 North St
Pittsfield, MA 01201-4105
City
Pittsfield
State
MA
Zip
01201-4105
Phone Number
413-447-2684
Fax Number
413-445-9197

License Information

License Number
RN247194
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Aleyamma Jacob, FNP?

The NPI number of Aleyamma Jacob, FNP is 1497116255. It was assigned on March 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Aleyamma Jacob, FNP?

Aleyamma Jacob, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN247194.

Where does Aleyamma Jacob, FNP practice?

The practice location is 610 North St, Pittsfield, MA 01201-4105. The office can be reached at 413-447-2684 (phone) or 413-445-9197 (fax).

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 1497116255 directly on the NPPES registry website.

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