Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY R JACOB, ARNP
ActiveDR. MARY R JACOB, ARNP is a Psychiatric/Mental Health, Community CNS healthcare provider located in WINTER PARK, Florida. NPI 1396776571 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · WINTER PARK, FL
Registration Details
- NPI Number
- 1396776571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2006 (20.152556225141 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ARNP 1859582 (FL)
Practice Information
- Address
-
1600 S ORLANDO AVEWINTER PARK, FL, 327895547Browse FL providers · Browse ZIP 32789
- Phone
- 4076444692
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
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.