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

Mr. Shawn Jacobs, AA

Individual provider Anesthesiologist Assistant · NPI 1871019117

Mr. Shawn Jacobs, AA is an Anesthesiologist Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017

Practice location Address checks out

615 S New Ballas Rd Dept OF
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2017038531 (MO)

Record details

NPI number1871019117
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

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