Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB CONNELLY
ActiveJACOB CONNELLY is a Family Nurse Practitioner healthcare provider located in LOS ALAMOS, New Mexico. NPI 1790147593 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1790147593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2016 (10.381141110471 yrs)
- Last Updated
- Aug 26, 2025
- Licenses
-
RN 9409391 (FL)11005429 (FL)
Practice Information
- Address
-
3917 WEST RD STE A3917LOS ALAMOS, NM, 875442275Browse NM providers · Browse ZIP 87544
- Phone
- 5056618959
- Fax
- 5056618916
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in LOS ALAMOS, NM
| Name | Credential | NPI |
|---|---|---|
| GRETCHEN L ANDERSON | RN, CS, MS(N),FNP | 1871563536 |
| SUSAN SKELTON | C.F.N.P. | 1609969179 |
| KAREN ANNE SCHNEIDER | FNP | 1740378546 |
| MARA TRAINER | CNP | 1740337146 |
| SHARON L ANDREATTA | CFNP. | 1801921960 |
| PEGGY ICKES | FNP-BC | 1255681474 |
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.