Jacob, Mariamma M

Jacob, Mariamma M is an individual health care provider with primary practice located at 7800 Preston Rd Ste 300 , Plano TX 75024-3236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacob, Mariamma M can be contacted via phone (972) 608-3800.

Contact Information

Primary practice address
7800 Preston Rd Ste 300 Plano TX 75024-3236
Fax: (972) 608-3810
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 557515 Texas

Profile Details

NPI number 1073863023
LBN Legal business name Jacob, Mariamma M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2012
Last updated Sep 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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