Individual
CHRISTINA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
(917) 543-4249
(724) 264-3516
Mailing address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
(917) 543-4249
(724) 264-3516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17485400
NJ
163W00000X
Registered Nurse
686457
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402089
NY
Other
Enumeration date
07/19/2015
Last updated
12/04/2019
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