Jacob Connelly
Jacob Connelly is a Nurse Practitioner in Los Alamos, New Mexico. Qualified in 2019, 7 years ago. Works from 3 locations. Licensed in Florida.
- Years since qualifying
- 7
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3917 W Rd Ste A3917Los Alamos, NM 87544-2275
Phone: (505) 661-8959
Fax: (505) 661-8916
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 737 Cape Coral Pkwy E, Cape Coral, FL 33904-8551 — (239) 542-0512
- 8291 Dani Dr Ste 100, Fort Myers, FL 33966-8021 — (239) 931-6049
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11005429 (FL) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN 9409391 (FL) |
Record details
| NPI number | 1790147593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | August 26, 2025 |
| Certification date | August 26, 2025 |
| Mailing address | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Los Alamos
-
Sara Jean Andersen
3917 W Rd Ste A, Los Alamos, NM 87544-2292 · (505) 661-8964
-
Leah G Ramos, APRN-CNP
3917 W Rd Ste A, Los Alamos, NM 87544-2292 · (505) 661-8900