Individual
MCKENZIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
302 TYSON AVE # B, PARIS, TN 38242-4576
(731) 407-7650
Mailing address
302 TYSON AVE # B, PARIS, TN 38242-4576
(731) 407-7650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2705
NV
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/21/2020
Last updated
11/15/2022
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