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Individual

GREGORY D JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3100 23RD ST STE T, COLUMBUS, NE 68601-3161
(402) 564-2816
(402) 564-1312
Mailing address
1454 28TH AVE, COLUMBUS, NE 68601-4944
(903) 297-1733
(903) 295-1600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1591
NE
363A00000X
Physician Assistant
PA05449
TX

Other

Enumeration date
11/05/2007
Last updated
08/19/2025
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