Amanda Jacobsen, PA-C

NPI #1174296941 in Decatur, Illinois

Provider Information

NPI Number: 1174296941
Entity Type: Individual
Name: Amanda Jacobsen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 320 E CENTRAL AVE
City: Decatur
State: Illinois
ZIP Code: 62521-4665
Phone: (217) 877-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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