Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYRONE RONNELL JACOBS SR.
Active Sole ProprietorMR. TYRONE RONNELL JACOBS SR. is a Bus healthcare provider located in RUTHER GLEN, Virginia. NPI 1558045542 is currently active in the NPPES registry. Verify at CMS.
Bus · RUTHER GLEN, VA
Registration Details
- NPI Number
- 1558045542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2023 (2.9986176469451 yrs)
- Last Updated
- Jun 12, 2023
- License
-
T63427396 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
436 CORNWALL DRRUTHER GLEN, VA, 225461132Browse VA providers · Browse ZIP 22546
- Phone
- 5406844597
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in RUTHER GLEN, VA
| Name | Credential | NPI |
|---|---|---|
| ERIC KOFI DONKOR | — | 1174416705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.