Individual
MRS. DEEPA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
735 EVANS ST, PARAMUS, NJ 07652-2240
(201) 527-5452
Mailing address
735 EVANS ST, PARAMUS, NJ 07652-2240
(201) 527-5452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01097900
NJ
Other
Enumeration date
01/18/2021
Last updated
03/10/2021
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