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Mark Jacobs, PA
Physician Assistant in Modesto, California
NPI 1346359866

Mark Jacobs is a Physician Assistant based in Louisville, CA. Mark Jacobs practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Mark Jacobs is 1346359866 and holds a License No. 15-01583 (California).

The current practice location address for Mark Jacobs is 1541 Florida Ave Ste 305, Modesto, CA and can be reached out via phone at 209-575-5833 and via fax at 209-575-5836.

Location: 1541 Florida Ave Ste 305, Modesto, CA, 40201-0909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346359866
Provider Name
Mark Jacobs
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1541 Florida Ave Ste 305, Modesto, CA, 40201-0909
Phone Number
209-575-5833
Fax Number
209-575-5836
Provider Enumeration Date
08/29/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1017889 01 NCCPA
PA12419 01 CA STATE PA LICENSE
9500618500 05 KY
institution
Provider Business Practice Location Address Details
Address
1541 Florida Ave Ste 305
City
Modesto
State
California
Zip
95350-4439
Phone Number
209-575-5833
Fax Number
209-575-5836
person
Provider Business Mailing Address Details
Address
1541 Florida Ave Ste 305
City
Modesto
State
California
Zip
95350-4439
Phone Number
209-575-5833
Fax Number
209-575-5836
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
15-01583 (Kansas)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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