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Individual

BRIANNA JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1970 N BROAD ST, LANSDALE, PA 19446-1002
(215) 368-1900
(215) 368-8772
Mailing address
217 HAMPSHIRE DR, SELLERSVILLE, PA 18960-2875
(267) 528-7474

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004826
PA

Other

Enumeration date
08/31/2017
Last updated
05/23/2019
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