AGNES JACOB

ACTON, MA
NPI1295282481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MA  RN263919)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  RN263919)
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
-- AGNES JACOB AGNP
3 WESTSIDE DR
ACTON, MA 01720-5939
Phone number: 978-897-5127
Mailing Address
-- AGNES JACOB AGNP
3 WESTSIDE DR
ACTON, MA 01720-5939
Phone number: 978-897-5127