Individual
MRS. ANCY CHAKKALAKAL JACOB
Active
Individual
MRS. ANCY CHAKKALAKAL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
041-306342
IL
363LF0000X
Family Nurse Practitioner
Primary
209.011429
IL
Other
Enumeration date
04/03/2014
Last updated
04/26/2021
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