Individual provider · Type 1 NPI

Joel Jacob

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1730025941 Active

Practice location

701 E Marshall Ave Ste 400
Longview, TX 75601-5595

Call (903) 315-2000 Map

Mailing address

700 E Marshall Ave Ste 400
Longview, TX 75601-5580

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730025941

Joel Jacob's National Provider Identifier is 1730025941, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on Apr 28, 2026.