Active NPIIndividual provider

Jennifer K Jacobus, PA-C

Physician Assistant in Trenton, New Jersey

NPI Number1518290139
Practice location
750 Brunswick Ave, Fuld Campus, Cvir Department, Trenton, NJ 08638-4143
Fax
—
Last updated
October 27, 2016

Jennifer Katherine Jacobus is a Physician Assistant based in Trenton, NJ. Jennifer Katherine Jacobus practices in Trenton, NJ and has the professional credentials of PA-C. The NPI Number for Jennifer Katherine Jacobus is 1518290139 and holds a License No. 25MP00224300 (NJ). The current practice location address for Jennifer Katherine Jacobus is 750 Brunswick Ave, Fuld Campus, Cvir Department, Trenton, NJ 08638-4143 and can be reached out via phone at 609-394-6000.

Provider Profile Details

NPI Number
1518290139
Provider Name
Jennifer Katherine Jacobus
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
750 Brunswick Ave, Fuld Campus, Cvir Department, Trenton, NJ 08638-4143
Phone Number
609-394-6000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Jennifer Katherine Davidson, PA-C (Former Name)
Provider Enumeration Date
September 14, 2009
Last Update Date
October 27, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 Brunswick Ave
Fuld Campus, Cvir Department
Trenton, NJ 08638-4143
Zip
08638-4143
Phone Number
609-394-6000
Trenton, NJ 08638Get directions →

Provider Business Mailing Address Details

Address
81 Highland Ave
Salem, MA 01970-2714
City
Salem
State
MA
Zip
01970-2714
Phone Number
978-741-1200

License Information

License Number (1)
25MP00224300
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
MA053987
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
PA5922
License State (3)
MA
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer K Jacobus, PA-C?

The NPI number of Jennifer K Jacobus, PA-C is 1518290139. It was assigned on September 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Jennifer K Jacobus, PA-C?

Jennifer K Jacobus, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00224300.

Where does Jennifer K Jacobus, PA-C practice?

The practice location is 750 Brunswick Ave, Fuld Campus, Cvir Department, Trenton, NJ 08638-4143. The office can be reached at 609-394-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518290139 directly on the NPPES registry website.

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