Individual provider · Type 1 NPI

Beena Jacob

Adult Health Nurse Practitioner · Mineola, NY

NPI number 1699201970 Active

Practice location

101 Mineola Blvd Fl 2
Mineola, NY 11501-4089

Mailing address

285 E Main St Ste 105
Smithtown, NY 11787-2912

Other practice locations

  • 285 Middle Country Rd, Smithtown, NY 11787-2978 · (631) 509-0390

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF307794-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1699201970

Beena Jacob's National Provider Identifier is 1699201970, issued on May 5, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mineola, NY. The record was last updated on Mar 19, 2021.