Jacob Connelly
NPI #1790147593 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1790147593
- Entity Type
- Individual
- Name
- Jacob Connelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- 3917 WEST RD STE A3917
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2275
- Phone
- (505) 661-8959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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