Suni Jacob is a Nurse Practitioner in Southington, Connecticut. Suni Jacob practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Suni Jacob is 1194709402. The last update date is 2023-04-06.
Suni Jacob's current location address is 161 Rochela Dr, Southington, Connecticut. You can contact this provider via phone number 2035255561. The mailing address for Suni Jacob is 161 Rochela Dr, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suni Jacob |
|---|---|
| Address | 161 Rochela Dr, Southington, Connecticut |
| Phone Number | 2035255561 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1194709402 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2023-04-06 |
Provider Mailing Address Detail
| Address | 161 Rochela Dr |
|---|---|
| City | Southington |
| State | Connecticut (CT) |
| Post Code | 64894671 |
| Phone Number | 2035255561 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3301 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8043065 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Suni Jacob by the Centers for Medicare & Medicaid Services?
The Suni Jacob has been assigned the NPI (National Provider Identifier) 1194709402. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Suni Jacob?
The Suni Jacob is situated at 161 Rochela Dr, in the city of Southington, state of CT, with the zip code 64894671.
What is Suni Jacob's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Suni Jacob's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did Suni Jacob receive its 1194709402 assignment?
The Suni Jacob was assigned its 1194709402 on 2005-11-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Suni Jacob last refreshed?
The information related to the Suni Jacob, including its address, specialty, and other relevant details, was last updated on 2023-04-06.
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