Rickoll, Jacob Robert

Rickoll, Jacob Robert is an individual health care provider with primary practice located at 3637 Canal St Ste 100 , New Orleans LA 70119-6110. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Rickoll, Jacob Robert can be contacted via phone (504) 613-0315.

Contact Information

Primary practice address
3637 Canal St Ste 100 New Orleans LA 70119-6110
Phone: (504) 613-0315
Fax: (888) 498-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 214020 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 214020 Louisiana

Profile Details

NPI number 1225665417
LBN Legal business name Rickoll, Jacob Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2020
Last updated Dec 23rd, 2023 - 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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