Individual
DIVIYA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-8468
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.521123
OH
Other
Enumeration date
04/16/2024
Last updated
09/11/2025
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