Latha Jacob, NP

NPI #1376826503 in Addison, Texas

Provider Information

NPI Number
1376826503
Entity Type
Individual
Name
Latha Jacob, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Sep 23, 2011
Last Updated
Apr 17, 2013

Practice Location

Address
14131 MIDWAY ROAD
Address 2
SUITE 620
State
Texas
ZIP Code
75001-3669
Phone
(972) 249-0200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Registered Nurse - RehabilitationRehabilitation

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