JACOB ROBERT RICKOLL

NEW ORLEANS, LA
NPI1225665417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: LA  214020)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: LA  214020)
Enumeration Date2020-03-26
Last Update Date2023-12-23
Business Address
JACOB ROBERT RICKOLL NP
3637 CANAL ST STE 100
NEW ORLEANS, LA 70119-6110
Phone number: 504-613-0315
Mailing Address
JACOB ROBERT RICKOLL NP
3637 CANAL ST STE 100
NEW ORLEANS, LA 70119-6110
Phone number: 504-613-0315