IndividualActive
Jeffry Jacobs, MEDICAL DOCTOR
NPI 1063477545 · Child & Adolescent Psychiatry Physician · Saint Joseph, MO
Provider details
- NPI number
- 1063477545
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MEDICAL DOCTOR
- Sex
- Male
- Sole proprietor
- No
- License
- 35908KY (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3608 Faraon St
Saint Joseph, MO 64506-3044
Phone: (816) 232-4417
Approximate (ZIP-level) locationGet directions
Mailing address
12932 Orchard Crossing Ln
Knoxville, TN 37934-1222
Additional practice locations (2)
- 1170 Pearl StEugene, OR 97401-3541Phone: (541) 743-4340
- 402 S 4th AveCentral Washington Comprehensive Mental HealthYakima, WA 98902Phone: (509) 575-4084Fax: (509) 576-4302
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.