Individual
MRS. TAO NAN CHIA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1337 BLUE VALLEY DR STE 8, PEN ARGYL, PA 18072-1815
(610) 654-1230
(610) 654-1232
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-0469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084212
NCCPA
PA
01
—
MA053658
MEDICAL PHYSICIAN ASSISTANT
PA
01
—
OA002319
OSTEOPATHIC PHYSICIAN ASSISTANT
PA
Enumeration date
09/05/2008
Last updated
07/21/2022
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