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LATHA JACOB, NP
NP
Nurse Practitioner
NPI: 1376826503IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
739362(TX)
Rehabilitation Registered Nurse
Registered Nurse — Rehabilitation
Code: 163WR0400X
739362(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 14131 MIDWAY ROAD, SUITE 620
ADDISON, TX 75001 - Phone
- (972) 249-0200
Quick Facts
- NPI
- 1376826503
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 15
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