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NPI Code Detail

MEDICARE: JENNA ROSE JACOBS

MEDICARE: JENNA ROSE JACOBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor18548CA

General Provider Information

NPI Number : 1912704883
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA ROSE JACOBS
Provider Business Mailing Address
First Line : 1208 57TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-3926
Country : US
Telephone Number : 916-761-8295
Fax Number :
Provider Business Practice Location Address
First Line : 2829 WATT AVE STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number : 916-761-8295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 01/09/2026

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Directions to “ JENNA ROSE JACOBS ” Practice Location

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