Individual provider · Type 1 NPI
Carla Jacob
Family Nurse Practitioner · Baltimore, MD
NPI number
1497063010
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | 542089 (NY) |
| Family Nurse Practitioner | 363LF0000X | 340624 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | R248512 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497063010
Carla Jacob's National Provider Identifier is 1497063010, issued on Sep 16, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 24, 2023.