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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGNES JACOB, AGNP

Active Sole Proprietor

AGNES JACOB, AGNP is a Gerontological Nurse Practitioner healthcare provider located in ACTON, Massachusetts. NPI 1295282481 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · ACTON, MA

Registration Details

NPI Number
1295282481
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2016 (9.9002527727797 yrs)
Last Updated
Sep 6, 2016
Licenses
RN263919 (MA)
RN263919 (MA)
Sole Proprietor
Yes

Practice Information

Address
3 WESTSIDE DR
ACTON, MA, 017205939
Browse MA providers · Browse ZIP 01720
Phone
9788975127
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in ACTON, MA

Name Credential NPI
MS. JANICE MARIE HOURIHAN N.P. 1497810196
MRS. PRAMILA MITNALA RAO AGNP-C 1548122823
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.