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AGNES JACOB AGNP
NPI 1295282481
Nurse Practitioner - Gerontology in Acton, MA

Active since September 06, 2016
3 WESTSIDE DR, ACTON, MA 01720(978) 897-5127 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Agnes Jacob Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNES JACOB AGNP (NPI 1295282481) is an individual gerontology provider in Acton, Massachusetts, licensed in Massachusetts (RN263919) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1295282481
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAGNES JACOBCredential: AGNP
Location Address3 WESTSIDE DRActon, MA 01720-5939
Mailing Address3 Westside DrActon, MA 01720-5939 · (978) 897-5127
Phone(978) 897-5127
Sole ProprietorYes
Enumeration DateSeptember 6, 2016
✔ NPI 1295282481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN263919
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN263919 (MA)
3 WESTSIDE DR, Acton, MA 01720
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Jacob's NPI number?

The NPI number for Agnes Jacob is 1295282481. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Agnes Jacob located?

Agnes Jacob practices at 3 Westside Dr, Acton, MA 01720. The listed phone number is (978) 897-5127.

What is Agnes Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Agnes Jacob was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.