Whalio Doctors

NPI 1538397518

Tammy Ting-Yu Shen Jacobs, MD

Practitioner Allergy & Immunology Physician Orem, UT

Practice location

Address
159 N 400 W STE B8, Orem, UT 84057-1909
Phone
(801) 226-3600
Fax
(801) 224-3811
Mailing address
1055 N 500 W Attn Credentialing, Provo, UT 84604-3305

Registered specialties (3)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 9404221-1205 (UT)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence A130064 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A130064 (CA)

Registry record

NPI
1538397518
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jun 2009
Record last updated
27 Nov 2023

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.