Individual provider · Type 1 NPI

Kelli A. Jacob, NP

Nurse Practitioner · Bossier City, LA

NPI number 1679809933 Active

Practice location

2300 Hospital Dr, Suite 360
Bossier City, LA 71111-2394

Fax (318) 212-7905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP05911 (LA)

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 1679809933

Kelli A. Jacob, NP's National Provider Identifier is 1679809933, issued on Oct 21, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bossier City, LA. The record was last updated on Oct 27, 2009.