Individual provider · Type 1 NPI

Vivian A. Clark-Jacobs, PA-C

Medical Physician Assistant · Cleveland, OH

NPI number 1972698355 Active

Practice location

8300 Hough Avenue
Cleveland, OH 44103

Fax (216) 231-7920

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50000747 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1972698355

Vivian A. Clark-Jacobs, PA-C's National Provider Identifier is 1972698355, issued on Oct 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cleveland, OH. The record was last updated on Feb 15, 2008.