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

Jennifer Susan Jacob, PA-C

Individual provider Physician Assistant · NPI 1174105779

Jennifer Susan Jacob, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Graduated from Drexel University College of Medicine in 2020, 6 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-3807
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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 MA062473 (PA)

Record details

NPI number1174105779
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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