Kimberly Jacob in Greensburg - Family

Kimberly Jacob - NPI 1356458889

Kimberly Jacob is a Family in Greensburg, Pennsylvania. Kimberly Jacob practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly Jacob is 1356458889. The last update date is 2015-07-29.

Kimberly Jacob's current location address is Po Box 747, Greensburg, Pennsylvania. You can contact this provider via phone number 4125617246 and fax number 4122354011. The mailing address for Kimberly Jacob is Po Box 747, Greensburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Jacob
Address Po Box 747, Greensburg, Pennsylvania
Phone Number 4125617246
Fax Number 4122354011
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1356458889
Provider Enumeration Date 2006-08-23
Last Updated Date 2015-07-29

Provider Mailing Address Detail

Address Po Box 747
City Greensburg
State Pennsylvania (PA)
Post Code 15601
Phone Number 4125617246
Fax Number 4122354011

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No VP004352B
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
VP004352B PA LICENSE

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FAQs about Kimberly Jacob

What is the Kimberly Jacob's unique identification number?

The Kimberly Jacob has been assigned the NPI (National Provider Identifier) Number 1356458889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kimberly Jacob?

The Kimberly Jacob is physically situated at Po Box 747, in the city of Greensburg, state of PA, with the postal code 15601.

What is Kimberly Jacob's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kimberly Jacob is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356458889 to Kimberly Jacob?

The Centers for Medicare & Medicaid Services originally issued the 1356458889 to Kimberly Jacob on 2006-08-23.

As of what date was the information regarding Kimberly Jacob, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kimberly Jacob, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-29.

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