Individual provider · Type 1 NPI

Selin K. Jacob, FNP-C

Family Nurse Practitioner · Boise, ID

NPI number 1780937359 Active

Practice location

444 W Fort St Fl 2
Boise, ID 83702-4535

Mailing address

4221 Venetian Loop, Las Cruces
Las Cruces, NM 88011-4126

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP-02040 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1780937359

Selin K. Jacob, FNP-C's National Provider Identifier is 1780937359, issued on Oct 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Aug 17, 2023.