MEDICARE: JACOB AKERS

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
1	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1326894080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB AKERS

Provider Business Mailing Address
First Line	:	3009 MONUMENT AVE APT 2
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-1418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 CHEVERLY RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1499
Country	:	US
Telephone Number	:	804-320-2434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	04/24/2024

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Directions to “ JACOB AKERS ” Practice Location

Language	Start Address	Practice Location

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