Healthcare Provider Details

I. General information

NPI: 1306008461
Provider Name (Legal Business Name): AIMEE C. JACOBS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE C. MCLEAN M.D.

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6740 ALEXANDER BELL DR STE 200
COLUMBIA MD
21046-2250
US

IV. Provider business mailing address

23 CROSSROADS DR SUITE 220
OWINGS MILLS MD
21117-5420
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-8444
  • Fax:
Mailing address:
  • Phone: 410-581-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP22890
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: