Individual
MR. JOHN PATRICK JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
10432 PATRIOT HWY, FREDERICKSBURG, VA 22408-2628
(540) 707-7074
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(540) 707-7074
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
05/23/2019
Last updated
03/13/2026
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