Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REENU M JACOB, PA-C
Active Sole ProprietorREENU M JACOB, PA-C is a Physician Assistant healthcare provider located in APPLY VALLEY, California. NPI 1255122206 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · APPLY VALLEY, CA
Registration Details
- NPI Number
- 1255122206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2025 (1.2320285979965 yrs)
- Last Updated
- May 16, 2025
- License
-
PA66143 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18112 CA-18 SUITE 101APPLY VALLEY, CA, 92307Browse CA providers · Browse ZIP 92307
- Phone
- 7609462243
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.