Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIANNE ROSEBERRY JACOBS, PAC

Active

MS. DIANNE ROSEBERRY JACOBS, PAC is a Medical Physician Assistant healthcare provider located in BALTIMORE, Maryland. NPI 1588838585 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BALTIMORE, MD

Registration Details

NPI Number: 1588838585
Provider Type: Individual
Gender: Female
NPI Issued: Apr 22, 2008 (18.288296161013 yrs)
Last Updated: Apr 22, 2008
License: C0000147 (MD)

Practice Information

Address: 1699 LEADENHALL STREET

SPRING GARDENS MEDICAL DISPENSARY

BALTIMORE, MD, 21230
Browse MD providers · Browse ZIP 21230
Phone: 4102914800
Fax: 4102914511
Primary Specialty: Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BALTIMORE, MD

Name	Credential	NPI
CAROL MARIE SCOTT	PA	1619970464
MR. STEPHEN ARTHUR BONNING	PA-C	1558356006
MR. DENNIS W RIVENBURGH	PHYSICIAN ASSTISTANT	1669454104
MRS. MICHELLE ANN MCDONNELL	PA	1619952157
MR. MAXWELL RICHARD WEESE	PA	1003888033
MS. YELENA GERASHCHENKO	P.A.	1013989573

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.