Individual
MR. JACOB TYLER JARREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 E HAMPDEN AVE STE 310, ENGLEWOOD, CO 80113-2769
(303) 788-5000
Mailing address
601 E HAMPDEN AVE STE 310, ENGLEWOOD, CO 80113-2769
(615) 916-1885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4625
STATE LICENSE #
TN
01
—
PA.0008437
STATE LICENSE #
CO
Enumeration date
05/05/2021
Last updated
01/08/2026
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