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DAISY JACOB

Family Nurse Practitioner

NPI: 1871075119IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

734278(TX)
Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

AP137437(TX)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

AP137437(TX)

CMS Specialties

Education

OTHER

Class of 2017

Contact & Hours

Address
1500 S MAIN ST FL 4
FORT WORTH, TX 76104

Quick Facts

NPI
1871075119
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
9

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