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Shiny Jacob
Psychiatric/Mental Health Nurse Practitioner in Redlands, California
NPI 1700638293

Shiny Jacob is a Psychiatric/Mental Health Nurse Practitioner based in Fontana, CA and is specialized in Psychiatric/Mental Health. Shiny Jacob practices in Redlands, CA. The NPI Number for Shiny Jacob is 1700638293 and holds a License No. 95028911 (California).

The current practice location address for Shiny Jacob is 1030 Nevada St, Redlands, CA and can be reached out via phone at 909-553-0055.

Location: 1030 Nevada St, Redlands, CA, 92336-5995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700638293
Provider Name
Shiny Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
1030 Nevada St, Redlands, CA, 92336-5995
Phone Number
909-553-0055
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1030 Nevada St
City
Redlands
State
California
Zip
92374-2957
Phone Number
909-553-0055
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Nevada St
City
Redlands
State
California
Zip
92374-2957
Phone Number
909-553-0055
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95028911 (California)
Definition
Definition to come...
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