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

Elissa Lee Jacob

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1134646631

Elissa Lee Jacob is a Physical Medicine & Rehabilitation Physician in Tunkhannock, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017

Practice location Address checks out

25 W St
Tunkhannock, PA 18657-1405
Phone: (570) 996-6200
Fax: (570) 996-6201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT025019 (PA)

Record details

NPI number1134646631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017