JEENA JACOB

DALLAS, TX
NPI1073893731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  720013)
Enumeration Date2011-08-25
Last Update Date2011-08-25
Business Address
Mrs. JEENA JACOB PNP
916 WYNNEWOOD SHP CTR
DALLAS, TX 75224-1833
Phone number: 214-941-7611
Mailing Address
Mrs. JEENA JACOB PNP
2329 AMESBURY DR
MESQUITE, TX 75150-5805
Phone number: 214-405-0724