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

Julianne Susan Jacob, MS, PA-C

Individual provider Physician Assistant · NPI 1407340987

Julianne Susan Jacob, MS, PA-C is a Physician Assistant in Elizabeth, New Jersey. Practices as a sole proprietor. Licensed in Georgia and New Jersey.

Licensed in
GA, NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

225 Williamson St
Elizabeth, NJ 07202-3625
Phone: (973) 563-8430
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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 9578 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00473800 (NJ)

Record details

NPI number1407340987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

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