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Mrs. Mary Deena Jacob, FNP
Family Nurse Practitioner in Allen, Texas
NPI 1518425982

Mary Deena Jacob is a Family Nurse Practitioner based in Allen, TX and is specialized in Family. Mary Deena Jacob practices in Allen, TX and has the professional credentials of FNP. The NPI Number for Mary Deena Jacob is 1518425982 and holds a License No. AP138925 (Texas).

The current practice location address for Mary Deena Jacob is 411 E Mcdermott Dr Ste A, Allen, TX and can be reached out via phone at 972-227-3464.

Location: 411 E Mcdermott Dr Ste A, Allen, TX, 75002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518425982
Provider Name
Mary Deena Jacob
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
411 E Mcdermott Dr Ste A, Allen, TX, 75002
Phone Number
972-227-3464
Fax Number
Provider Enumeration Date
03/05/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
411 E Mcdermott Dr Ste A
City
Allen
State
Texas
Zip
75002-2854
Phone Number
972-227-3464
Fax Number
person
Provider Business Mailing Address Details
Address
411 E Mcdermott Dr Ste A
City
Allen
State
Texas
Zip
75002-2854
Phone Number
972-227-3464
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP138925 (Texas)
Definition
Definition to come...
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