Individual provider · Type 1 NPI

Anumol Jacob, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1972111326 Active

Practice location

5600 Chestnut St
Philadelphia, PA 19139-3232

Mailing address

717 Parker Ln
Springfield, PA 19064-1304

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP021587 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1972111326

Anumol Jacob, CRNP's National Provider Identifier is 1972111326, issued on Jul 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2020.