Individual provider · Type 1 NPI

Jennifer Susan Jacob, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1174105779 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 662-3807 Map

Mailing address

8036 264th St
Floral Park, NY 11004-1523

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA062473 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174105779

Jennifer Susan Jacob, PA-C's National Provider Identifier is 1174105779, issued on Apr 22, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 22, 2021.