Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jacobsen, PA-C

Individual provider Physician Assistant · NPI 1174296941

Amanda Jacobsen, PA-C is a Physician Assistant in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

320 E Central Ave
Decatur, IL 62521-4665
Phone: (217) 877-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.008421 (IL)

Record details

NPI number1174296941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address1307 Jackson Woods Ct Nw, Cedar Rapids, IA 52405-1920

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