Individual
SINJU JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP136906
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136906
TX
Other
Enumeration date
08/03/2018
Last updated
06/26/2020
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