JACOB CONNELLY

Nurse Practitioner - Family

Active Individual
NPI: 1790147593

Practice Address

3917 WEST RD STE A3917
Los Alamos, NM 87544

Phone: (505) 661-8959

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN 9409391 (FL)
Nurse Practitioner - Family 363LF0000X Yes 11005429 (FL)

Frequently Asked Questions

NPI 1790147593 is the National Provider Identifier for JACOB CONNELLY, a Nurse Practitioner - Family provider located in Los Alamos, NM. This NPI was enumerated on March 22, 2016.
JACOB CONNELLY practices at 3917 WEST RD STE A3917, Los Alamos, NM 87544.

Quick Facts

NPI
1790147593
Type
Individual
Enumerated
Mar 22, 2016
Last Updated
Aug 26, 2025

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