Individual provider · Type 1 NPI
Melissa C. Jacobs, NP
Gerontology Nurse Practitioner · Boston, MA
NPI number
1720401631
Active
Practice location
801 Massachusetts Ave, Crosstown 6C
Boston, MA 02118-2526
Fax (617) 414-1577
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2260951 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1720401631
Melissa C. Jacobs, NP's National Provider Identifier is 1720401631, issued on Jan 28, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on May 9, 2019.