Individual
ASHLEY WYNNE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19272 STONE OAK PKWY STE 101, SAN ANTONIO, TX 78258-3372
(210) 265-8851
Mailing address
19272 STONE OAK PKWY STE 101, SAN ANTONIO, TX 78258-3372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11323
TX
Other
Enumeration date
07/07/2017
Last updated
05/08/2026
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