Individual
SARA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4425 PLANO PKWY STE 203, CARROLLTON, TX 75010-5026
(972) 752-6206
(972) 695-8792
Mailing address
809 GRAYSTONE DR, GARLAND, TX 75043-3717
(469) 274-2417
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1011829
TX
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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