National Provider Identifier
John Jacobs, PA
John Jacobs, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Horseheads, NY and a listed phone number of (607) 739-0352.
Profile Overview
- NPI
- 1871232793
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 31, 2022
- Last Updated
- March 15, 2024
Practice Location
- 100 John Roemmelt Dr Ste 101
- Horseheads, NY 14845-8302
Phone: (607) 739-0352
Mailing Address
- 601 Elmwood Ave Box 670
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1871232793
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- John
- Credential
- PA
- Mailing Street Address
- 601 Elmwood Ave Box 670
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (607) 301-4141
- Practice Street Address
- 100 John Roemmelt Dr Ste 101
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8302
- Practice Country
- US
- Practice Phone
- (607) 739-0352
- Practice Fax
- (607) 739-6909
- Enumeration Date
- May 31, 2022
- Last Updated
- March 15, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)