Ms. Charleen Jacobs
Nurse Practitioner - Adult Health
3444 Kossuth Ave Mmg Family Care Center
Bronx
, New York 10467-2410
Ms. Charleen Jacobs
Nurse Practitioner - Adult Health
3444 Kossuth Ave Mmg Family Care Center
Bronx
, New York 10467-2410
(914) 774-9210
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Ms. Charleen Jacobs
- 1 Fisher Dr Apt 202
- Mount Vernon, NY
- Zip : 10552-3635
- Phone : (914) 774-9210
Second Address
- Ms. Charleen Jacobs
- 3444 Kossuth Ave Mmg Family Care Center
- Bronx, NY
- Zip : 10467-2410
- Phone : (718) 920-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | F306841 | NY |
National Provider Identifier
| NPI | 1003228537 |
|---|---|
| Provider Name | Ms. Charleen Jacobs |
| First Address | Mount Vernon, NY 10552-3635 |
| Second Address | Bronx, NY 10467-2410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.