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

Mr. Tyrone Ronnell Jacobs Sr.

Individual provider Non-emergency Medical Transport (VAN) · NPI 1558045542

Mr. Tyrone Ronnell Jacobs Sr. is a Non-emergency Medical Transport (VAN) in Ruther Glen, Virginia. Practices as a sole proprietor and works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

436 Cornwall Dr
Ruther Glen, VA 22546-1132
Phone: (540) 684-4597
Show map & directions

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

Additional practice locations (2)

  • 436 Cornwall Dr, Ruther Glen, VA 22546-1132 — (540) 684-4597
  • 436 Cornwall Dr, Ruther Glen, VA 22546-1132 — (540) 684-4597

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence T63427396 (VA)

Record details

NPI number1558045542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address436 Cornwall Dr, Ruther Glen, VA 22546-1132

Other providers in Ruther Glen