Individual provider · Type 1 NPI

Latha Jacob, NP

Nurse Practitioner · Addison, TX

NPI number 1376826503 Active

Practice location

14131 Midway Road, Suite 620
Addison, TX 75001-3669

Fax (972) 249-0206

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X739362 (TX)
Rehabilitation Registered Nurse 163WR0400X739362 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376826503

Latha Jacob, NP's National Provider Identifier is 1376826503, issued on Sep 23, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Addison, TX. The record was last updated on Apr 17, 2013.