Individual provider · Type 1 NPI
Jacob Manuel Perreira, AGPCNP
Primary Care Nurse Practitioner · Indianapolis, IN
NPI number
1346996295
Active
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Mailing address
5843 Minden Dr
Indianapolis, IN 46221-9379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 28251946A (IN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 28251946A (IN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1346996295
Jacob Manuel Perreira, AGPCNP's National Provider Identifier is 1346996295, issued on Mar 1, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 24, 2022.