Angela Marie Jacob, PA-C

NPI #1023431756 in Cincinnati, Ohio

Provider Information

NPI Number: 1023431756
Entity Type: Individual
Name: Angela Marie Jacob, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 31, 2014
Last Updated: Jul 30, 2018

Practice Location

Address: 3333 BURNET AVE
Address 2: ML 2017
City: Cincinnati
State: Ohio
ZIP Code: 45229
Phone: (513) 636-4454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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