Kelli Jacob, NP

NPI 1679809933 · on the registry since 2009

Practice

Address: 2300 Hospital Dr
Suite 360
Bossier City, LA 71111
Phone: (318) 212-7902
Fax: (318) 212-7905
Organisation at this address: Scott L Mighell Md
Wk Advanced Urology
Wk Dermatology Clinic
Wk Premier Pediatrics
Wk Preferred Pediatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana