Individual
JENNIFER H JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 SUDLEY RD STE 208, MANASSAS, VA 20109-2856
(703) 646-8568
(703) 596-3147
Mailing address
7900 SUDLEY RD STE 208, MANASSAS, VA 20109-2856
(703) 646-8568
(703) 596-3147
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101057239
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006311059
—
VA
01
—
221572
MAMSI
VA
01
—
435992
ANTHEM
VA
01
—
435993
ANTHEM
VA
Enumeration date
02/01/2006
Last updated
01/30/2026
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