Individual provider · Type 1 NPI

Sophiamma A. Jacob, NP

Adult Health Nurse Practitioner · Old Bridge, NJ

NPI number 1326437856 Active

Practice location

26 Throckmorton Ln
Old Bridge, NJ 08857-2520

Fax (732) 679-9956

Mailing address

20 Goshawk Ct
Morganville, NJ 07751-1073

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ00527100 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1326437856

Sophiamma A. Jacob, NP's National Provider Identifier is 1326437856, issued on Jan 21, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Old Bridge, NJ. The record was last updated on Jan 21, 2015.