# DR. BLESSY S JACOB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831499029
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 685775 | TX | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP119563 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP119563 | TX | Yes |

## Other

- **Enumeration date:** 10/22/2010
- **Last updated:** 06/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3153637 | — | TX |