Individual provider · Type 1 NPI

Jonathan Dan Jacobs, APRN

Psychiatric/Mental Health Nurse Practitioner · Roanoke, VA

NPI number 1033992755 Active

Practice location

611 Mcdowell Ave NW
Roanoke, VA 24016-1225

Mailing address

1867 Mount Tabor Rd
Blacksburg, VA 24060-8609

Other practice locations

  • 8629 Bluejacket St, Lenexa, KS 66214-1604 · (913) 677-3553

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2023015551 (MO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X53-82245-101 (KS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1033992755

Jonathan Dan Jacobs, APRN's National Provider Identifier is 1033992755, issued on Aug 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Roanoke, VA. The record was last updated on Nov 8, 2023.