Active NPIIndividual provider

Hannah Jacob, APRN

Nurse Practitioner in New London, Connecticut

NPI Number1922620137
Practice location
One Shaw'S Cove, New London, CT 06320-4902
Fax
—
Last updated
September 1, 2020

Hannah Jacob is a Nurse Practitioner based in New London, CT. Hannah Jacob practices in New London, CT and has the professional credentials of APRN. The NPI Number for Hannah Jacob is 1922620137 and holds a License No. R209541 (MD). The current practice location address for Hannah Jacob is One Shaw'S Cove, New London, CT 06320-4902 and can be reached out via phone at 860-447-8304.

Provider Profile Details

NPI Number
1922620137
Provider Name
Hannah Jacob
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
One Shaw'S Cove, New London, CT 06320-4902
Phone Number
860-447-8304
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2020
Last Update Date
September 1, 2020
Certification Date
September 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
One Shaw'S Cove
New London, CT 06320-4902
Zip
06320-4902
Phone Number
860-447-8304
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
One Shaw'S Cove
New London, CT 06320-4902
City
New London
State
CT
Zip
06320-4902
Phone Number
860-447-8304

License Information

License Number (1)
R209541
License State (1)
MD
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
9037
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Hannah Jacob, APRN?

The NPI number of Hannah Jacob, APRN is 1922620137. It was assigned on May 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Hannah Jacob, APRN?

Hannah Jacob, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MD under license number R209541.

Where does Hannah Jacob, APRN practice?

The practice location is One Shaw'S Cove, New London, CT 06320-4902. The office can be reached at 860-447-8304 (phone).

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 1922620137 directly on the NPPES registry website.

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