Individual provider · Type 1 NPI

Suja C. Jacob, FNP

Family Nurse Practitioner · Coppell, TX

NPI number 1649672791 Active

Practice location

2999 Olympus Blvd
Coppell, TX 75019-0122

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP126091 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1649672791

Suja C. Jacob, FNP's National Provider Identifier is 1649672791, issued on Sep 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coppell, TX. The record was last updated on Mar 2, 2026.