Jacob, Mary R

Jacob, Mary R is an individual health care provider with primary practice located at 1600 S Orlando Ave , Winter Park FL 32789-5547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jacob, Mary R can be contacted via phone (407) 644-4692.

Contact Information

Primary practice address
1600 S Orlando Ave Winter Park FL 32789-5547
Phone: (407) 644-4692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X ARNP 1859582 Florida

Profile Details

NPI number 1396776571
LBN Legal business name Jacob, Mary R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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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