AGNES JACOB AGNP NPI 1295282481

NPI Information

  • NPI: 1295282481
  • Provider Name: AGNES JACOB, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 3 WESTSIDE DR
    ACTON, MA
    ZIP 01720
  • Phone: (978) 897-5127

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NPI Details

Agnes Jacob, AGNP is a gerontology nurse practitioner in Acton, MA. Agnes Jacob, AGNP NPI is 1295282481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 WESTSIDE DR
ACTON, MA
ZIP 01720-939
Phone: (978) 897-5127

The enumeration date for this NPI number is 9/6/2016 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN263919MASSACHUSETTSNo
2363LG0600XNurse PractitionerGerontologyRN263919MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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