MRS. Michelle Veronica Jacob, AGNP
NPI #1033548045 in Belleville, Illinois
Provider Information
- NPI Number
- 1033548045
- Entity Type
- Individual
- Name
- MRS. Michelle Veronica Jacob, AGNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- AGNP
- Enumeration Date
- Nov 11, 2013
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 4500 MEMORIAL DR
- Address 2
- DEPT ANESTHESIOLOGY
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (800) 862-9980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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