Individual
JACOB BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
(276) 988-6050
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011533
VA
Other
Enumeration date
12/15/2025
Last updated
02/24/2026
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