Individual provider · Type 1 NPI

Shannon Rebecca Jacobs, PA-C

Physician Assistant · Kansas City, MO

NPI number 1841821113 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Fax (816) 302-9939

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2022009841 (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 1841821113

Shannon Rebecca Jacobs, PA-C's National Provider Identifier is 1841821113, issued on Jan 27, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 22, 2025.