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Individual

JACOB ROBERT RICKOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3637 CANAL ST STE 100, NEW ORLEANS, LA 70119-6110
(504) 613-0315
(888) 498-4941
Mailing address
3637 CANAL ST STE 100, NEW ORLEANS, LA 70119-6110
(504) 613-0315
(888) 498-4941

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
214020
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
214020
LA

Other

Enumeration date
03/26/2020
Last updated
01/15/2026
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