Individual provider · Type 1 NPI

Jan Miriam Jacob-Wickland, PA-C

Physician Assistant · St. Louis, MO

NPI number 1508980541 Active

Practice location

615 S New Ballas Rd Dept Of
St. Louis, MO 63141-8221

Call (314) 251-6000 Map

Fax (636) 386-7679

Mailing address

1054 Big Bend Station Dr
Manchester, MO 63088-1429

Other practice locations

  • 1 Barnes Jewish Hospital Plz, St. Louis, MO 63110-1003 · (314) 454-8134

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X119559 (MO)

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 1508980541

Jan Miriam Jacob-Wickland, PA-C's National Provider Identifier is 1508980541, issued on Mar 16, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 20, 2019.