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Contact Information

LOLITA C JACOB, A.P.R.N.
300 2ND AVE
LONG BRANCH, NJ07740-6303
 Phone: 732-923-6575
 Fax: 732-923-6577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LOLITA C JACOB · (Female)

NPI Number 1447290424
Status Active
Credentials A.P.R.N.
Entity Individual
Enumeration date 06/07/2006
Last updated 10/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ0004300
  • NJ Medicaid 0033642
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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