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

Micky Jacob, DNP

Individual provider Nurse Practitioner · NPI 1568154748

Micky Jacob, DNP is a Nurse Practitioner in Edison, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

65 James St
Edison, NJ 08820-3903
Phone: (732) 321-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ14848700 (NJ)

Record details

NPI number1568154748
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address65 James St, Edison, NJ 08820-3903

Other providers in Edison