Individual provider · Type 1 NPI
Tinu Jacob, N.P.P.
Psychiatric/Mental Health Nurse Practitioner · New Hyde Park, NY
NPI number
1225482979
Active
Practice location
1300 Belmont Ave
New Hyde Park, NY 11040-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 40401944 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225482979
Tinu Jacob, N.P.P.'s National Provider Identifier is 1225482979, issued on Apr 19, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Hyde Park, NY. The record was last updated on Apr 19, 2016.