Individual
ALEYAMMA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
610 NORTH ST, PITTSFIELD, MA 01201-4105
(413) 447-2684
(413) 445-9197
Mailing address
610 NORTH ST, PITTSFIELD, MA 01201-4105
(413) 447-2684
(413) 445-9197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247194
MA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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