Individual
MRS. TINA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3609 S WADSWORTH BLVD STE 135, LAKEWOOD, CO 80235-2126
(720) 542-8445
(877) 413-4043
Mailing address
10269 W WESLEY PL, LAKEWOOD, CO 80227-3074
(414) 807-7941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005501
CO
363A00000X
Physician Assistant
Primary
PA9110256
FL
Other
Enumeration date
04/09/2017
Last updated
02/03/2026
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