Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY AMANDA JACOBS, M.D.
ActiveMARY AMANDA JACOBS, M.D. is a Obesity Medicine healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1811973894 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1811973894
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2005 (20.671302293714 yrs)
- Last Updated
- Aug 5, 2020
- Licenses
-
46763 (MN)MD437386 (PA)
Practice Information
- Address
-
200 SCENERY DR.STATE COLLEGE, PA, 168015602Browse PA providers · Browse ZIP 16801
- Phone
- 8142314560
- Fax
- 8142316246
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
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.