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

Melissa Jacob, NP

Individual provider Family Nurse Practitioner · NPI 1396661922

Melissa Jacob, NP is a Family Nurse Practitioner in Queens Village, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

21717 103rd Ave
Queens Village, NY 11429-1116
Phone: (917) 613-4074
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354704 (NY)

Record details

NPI number1396661922
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 27, 2026
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026

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