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

McKenzie Jacobson, PA

Individual provider Medical Physician Assistant · NPI 1134749922

McKenzie Jacobson, PA is a Physician Assistant in Paris, Tennessee. Qualified in 2022, 4 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

302 Tyson Ave # B
Paris, TN 38242-4576
Phone: (731) 407-7650
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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 PA2705 (NV)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1134749922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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