Individual
JACOB HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046-3031
(410) 401-7575
(369) 200-3590
Mailing address
3306 LAUREL HILL RD, HANOVER, MD 21076-2254
(410) 302-9464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R221233
MD
Other
Enumeration date
02/23/2019
Last updated
03/03/2025
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