Individual
JACOB M ANDREASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5540 SARATOGA BLVD STE 200, CORPUS CHRISTI, TX 78413-2999
(361) 993-8510
(361) 985-2917
Mailing address
1714 W 56TH ST APT D110, KEARNEY, NE 68845-4123
(308) 440-4726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2730
NE
Other
Enumeration date
02/13/2022
Last updated
09/11/2025
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