Jacob Connelly is a Los Alamos, New Mexico based nurse practitioner. Active license number of Jacob Connelly is 11005429 for Family in Florida. His current practice location is 3917 West Rd Ste A3917, Los Alamos. Patients can reach him at 505-661-8959 or can fax him at 505-661-8916 and his NPI number (Unique professional ID assigned by NPPES) is 1790147593. Jacob Connelly has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jacob Connelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jacob Connelly
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Practice Address:
3917 West Rd Ste A3917, Los Alamos, New Mexico, 87544-2275
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790147593
NPI Enumeration Date:
22 Mar, 2016
NPI Last Update On:
26 Aug, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Connelly are as mentioned below.
License Number
Specialization
State
Status
11005429
Family
Florida
Primary
RN 9409391
Registered Nurse
Florida
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jacob Connelly 3917 West Rd Ste A, Los Alamos, New Mexico
Zip:
87544-2292
Phone Number:
505-661-8959
Fax Number:
505-661-8916
Patients can reach Jacob Connelly at 3917 West Rd Ste A3917, Los Alamos, New Mexico or can call to book an appointment on 505-661-8959.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.