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Individual

DR. BLESSY S JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
11230 AIRLINE DR, STE#1, HOUSTON, TX 77037-1116
(832) 810-9521
(855) 703-1949
Mailing address
11230 AIRLINE DR, STE#1, HOUSTON, TX 77037-1116
(832) 810-9521
(855) 703-1949

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
685775
TX
363LA2200X
Adult Health Nurse Practitioner
AP119563
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP119563
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3153637
TX
Enumeration date
10/22/2010
Last updated
06/17/2024
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