Individual
MRS. PRAISY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
50861 NESTING RIDGE DR, MACOMB, MI 48044-1385
(586) 764-9892
Mailing address
50861 NESTING RIDGE DR, MACOMB, MI 48044-1385
(586) 764-9892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704281141
MI
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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