Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liciamma Jacob

Individual provider Nurse Practitioner · NPI 1134682347

Liciamma Jacob is a Nurse Practitioner in Pasadena, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948
Phone: (713) 948-7388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP138632 (TX)

Record details

NPI number1134682347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2019
Last updated in NPPESApril 13, 2019
Mailing address2708 Raven Ridge Dr, Pearland, TX 77584-3442

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