NPI 1053254946

Jacob Nuss

Practitioner Medical Physician Assistant Decatur, IL

Practice location

Address: 1800 E Lake Shore Dr, Decatur, IL 62521-3810
Phone: (217) 464-2966
Mailing address: 515 E Walnut St, Mt Zion, IL 62549-1663

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1053254946
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2026
Record last updated: 14 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.