Individual provider · Type 1 NPI
Jisha Jacob
Family Nurse Practitioner · Passaic, NJ
NPI number
1437957701
Active
Practice location
615 Main Ave # 7055
Passaic, NJ 07055-5066
Mailing address
47 Old Middletown Rd
Nanuet, NY 10954-3208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 357923 (NY) |
| Family Medicine Physician | 207Q00000X | 209030880 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ15521400 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1437957701
Jisha Jacob's National Provider Identifier is 1437957701, issued on Mar 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Passaic, NJ. The record was last updated on Jul 9, 2026.