Individual provider · Type 1 NPI

Praisy Jacob, FNP-BC

Family Nurse Practitioner · Macomb, MI

NPI number 1104371020 Active

Practice location

50861 Nesting Ridge Dr
Macomb, MI 48044-1385

Call (586) 764-9892 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704281141 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1104371020

Praisy Jacob, FNP-BC's National Provider Identifier is 1104371020, issued on Aug 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Macomb, MI. The record was last updated on Aug 20, 2016.