Individual provider · Type 1 NPI

Nancy Anne Jacob, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1962528174 Active

Practice location

3400 Spruce St, Ground Rhoads
Philadelphia, PA 19104-4206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA052520 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1962528174

Nancy Anne Jacob, PA-C's National Provider Identifier is 1962528174, issued on Mar 21, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 22, 2011.