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DORIS A JACOBS PA-C
NPI 1679795355
Physician Assistant - Medical in Grand Rapids, MI

Active since May 03, 2007
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(616) 840-8719(616) 840-9637 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doris A Jacobs Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORIS A JACOBS PA-C (NPI 1679795355) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (DJ004588) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679795355
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDORIS A JACOBSCredential: PA-C
Location Address235 WEALTHY ST SEGrand Rapids, MI 49503-5247
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8719 · Fax (616) 840-9637
Phone(616) 840-8719
Fax(616) 840-9637
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1679795355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · DJ004588
235 WEALTHY ST SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedN94560002MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MCINTOSH
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
JENNIFER LYNNE TAYLOR DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 262-0299
LAUREN MALLORY PT, DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
ANNEKE DEVRIES SLP
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
ROSE BRITT RDN, CNSC
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8156
BRENDAN VANDERMEULEN
Behavior Analyst
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
JOHN HOUSKAMP MD
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
TASHA FRANKS DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doris Jacobs's NPI number?

The NPI number for Doris Jacobs is 1679795355. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Doris Jacobs located?

Doris Jacobs practices at 235 Wealthy St SE, Grand Rapids, MI 49503. The listed phone number is (616) 840-8719.

What is Doris Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Doris Jacobs was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.