Individual provider · Type 1 NPI
Amanda Jacob, NP
Neonatal Nurse Practitioner · Royal Oak, MI
NPI number
1659846426
Active
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Fax (248) 898-3393
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704294394 (MI) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 4704294394 (MI) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1659846426
Amanda Jacob, NP's National Provider Identifier is 1659846426, issued on Oct 9, 2018. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 15, 2022.