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Individual
MR. JACOB MICHAEL ALEXANDER
Active
Individual
MR. JACOB MICHAEL ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
363A00000X
Physician Assistant
0010-11056
NC
363AM0700X
Medical Physician Assistant
0010-11056
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PA19266
TX
Other
Enumeration date
09/07/2018
Last updated
06/29/2026
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