Individual provider · Type 1 NPI
Jacob Richard Nowak, FNP-C
Family Nurse Practitioner · Southborough, MA
NPI number
1295647741
Active
Practice location
6 Andrews Way
Southborough, MA 01772-1024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN2356627 (MA) |
| Registered Nurse | 163W00000X | RN2356627 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295647741
Jacob Richard Nowak, FNP-C's National Provider Identifier is 1295647741, issued on Sep 21, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southborough, MA. The record was last updated on Oct 7, 2026.