Whalio Doctors

NPI 1063477545

Jeffry Alan Jacobs, MEDICALDOCTOR

Practitioner Child & Adolescent Psychiatry Physician Saint Joseph, MO

Practice location

Address
3608 Faraon St, Saint Joseph, MO 64506-3044
Phone
(816) 232-4417
Mailing address
12932 Orchard Crossing Ln, Knoxville, TN 37934-1222

Registered specialties (4)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 2022007260 (MO)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 35908KY (KY)
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD60579729 (WA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD38701 (TN)

Registry record

NPI
1063477545
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Apr 2006
Record last updated
25 Jul 2024

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.