LICIAMMA JACOB
Nurse Practitioner
Active
Individual
NPI: 1134682347
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | AP138632 (TX) |
Frequently Asked Questions
NPI 1134682347 is the National Provider Identifier for LICIAMMA JACOB, a Nurse Practitioner provider located in Pasadena, TX. This NPI was enumerated on April 13, 2019.
LICIAMMA JACOB practices at 4600 E SAM HOUSTON PKWY S, Pasadena, TX 77505.
Quick Facts
- NPI
- 1134682347
- Type
- Individual
- Enumerated
- Apr 13, 2019
- Last Updated
- Apr 13, 2019
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