Jacob, Amanda
Jacob, Amanda is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Jacob, Amanda can be contacted via phone (248) 898-0633.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6712
Phone: (248) 898-0633
Fax: (248) 898-3393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704294394 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 4704294394 | Michigan |
Profile Details
| NPI number | 1659846426 |
|---|---|
| LBN Legal business name | Jacob, Amanda |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2018 |
| Last updated | Jul 15th, 2022 - about 3 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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