Individual
DIANA JACOBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 FIRST AVENUE, NYU MEDICAL CENTER, NEW YORK, NY 10016
(862) 268-0764
Mailing address
550 FIRST AVENUE, NYU MEDICAL CENTER, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430835
NY
Other
Enumeration date
07/12/2014
Last updated
09/11/2018
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