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Individual

MS. GEETHA POWERS JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4800 WHITESPORT CIR SW STE 2, HUNTSVILLE, AL 35801-6443
(256) 533-9393
Mailing address
4800 WHITESBURG DR SW STE 30-222, HUNTSVILLE, AL 35802-1698
(954) 297-5474

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-153016
AL
363LF0000X
Family Nurse Practitioner
95000043
CA
363LF0000X
Family Nurse Practitioner
R883871
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-153016
AL

Other

Enumeration date
09/29/2011
Last updated
03/21/2025
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