Individual provider · Type 1 NPI

Amanda Jacobsen, PA-C

Physician Assistant · Decatur, IL

NPI number 1174296941 Active

Practice location

320 E Central Ave
Decatur, IL 62521-4665

Mailing address

1307 Jackson Woods Ct NW
Cedar Rapids, IA 52405-1920

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.008421 (IL)

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 1174296941

Amanda Jacobsen, PA-C's National Provider Identifier is 1174296941, issued on Jul 28, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Decatur, IL. The record was last updated on Jul 28, 2021.