Mary R Jacob in Winter Park - Psychiatric/mental Health

Mary R Jacob - NPI 1396776571

Mary R Jacob is a Psychiatric/mental Health in Winter Park, Florida. Mary R Jacob practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Mary R Jacob is 1396776571. The last update date is 2007-07-08.

Mary R Jacob's current location address is 1600 S Orlando Ave, Winter Park, Florida. You can contact this provider via phone number 4076444692. The mailing address for Mary R Jacob is 1600 S Orlando Ave, Winter Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary R Jacob
Address 1600 S Orlando Ave, Winter Park, Florida
Phone Number 4076444692
Fax Number
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1396776571
Provider Enumeration Date 2006-07-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 S Orlando Ave
City Winter Park
State Florida (FL)
Post Code 327895547
Phone Number 4076444692
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No ARNP 1859582
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

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FAQs about Mary R Jacob

What is the unique 10-digit identifier code assigned to Mary R Jacob by the Centers for Medicare & Medicaid Services?

The Mary R Jacob has been issued the NPI (National Provider Identifier) 1396776571 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mary R Jacob's facilities are geographically located?

The facilities of Mary R Jacob are physically situated at the following location: 1600 S Orlando Ave, Winter Park, FL, 327895547.

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

The primary area of medical expertise for Mary R Jacob is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 364Sp0808X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396776571 to Mary R Jacob?

The Centers for Medicare & Medicaid Services assigned the 1396776571 to Mary R Jacob on 2006-07-05.

As of what date were the Mary R Jacob's details last updated?

The information pertaining to the Mary R Jacob, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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