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Individual
MRS. JENCY JACOB
Active
Individual
MRS. JENCY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
006301
CT
363LA2200X
Adult Health Nurse Practitioner
239642
AR
363LA2200X
Adult Health Nurse Practitioner
4047444
KY
363LA2200X
Adult Health Nurse Practitioner
AP144354
TX
Other
Enumeration date
11/05/2015
Last updated
10/07/2026
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