Connelly, Jacob

Connelly, Jacob is an individual health care provider with primary practice located at 737 Cape Coral Pkwy E , Cape Coral FL 33904-8551. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Connelly, Jacob can be contacted via phone (239) 542-0512.

Contact Information

Primary practice address
737 Cape Coral Pkwy E Cape Coral FL 33904-8551
Phone: (239) 542-0512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 9409391 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11005429 Florida

Profile Details

NPI number 1790147593
LBN Legal business name Connelly, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Jul 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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