Individual provider · Type 1 NPI

Caitlin A. Jacobson, PA

Medical Physician Assistant · Virginia Beach, VA

NPI number 1376880179 Active

Practice location

4092 Foxwood Dr, Ste 101
Virginia Beach, VA 23462-5225

Fax (757) 686-0541

Mailing address

PO Box 7549
Portsmouth, VA 23707-0549

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110004170 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1376880179

Caitlin A. Jacobson, PA's National Provider Identifier is 1376880179, issued on Jan 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 13, 2022.