Individual provider · Type 1 NPI

Daisy Sobha Jacob

Family Nurse Practitioner · Fort Worth, TX

NPI number 1871075119 Active

Practice location

1500 S Main St Fl 4
Fort Worth, TX 76104-4917

Fax (817) 927-6843

Mailing address

PO Box 732973
Dallas, TX 75373-2973

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X734278 (TX)
Nurse Practitioner 363L00000XAP137437 (TX)
Family Nurse Practitioner Primary 363LF0000XAP137437 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1871075119

Daisy Sobha Jacob's National Provider Identifier is 1871075119, issued on Sep 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 2, 2019.