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

Mariamma M Jacob, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1073863023

Mariamma M Jacob, CPNP is a Pediatric Nurse Practitioner in Plano, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

7800 Preston Rd Ste 300
Plano, TX 75024-3236
Phone: (972) 608-3800
Fax: (972) 608-3810
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 557515 (TX)

Record details

NPI number1073863023
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESSeptember 18, 2012

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