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Individual

JANCY JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Mailing address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00858500
NJ

Other

Enumeration date
05/04/2022
Last updated
05/13/2022
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