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Ashley Wynne Jacobsen, PA-C

Physician Assistant in San Antonio, TX. Individual provider (NPI-1).

NPI number1366964751
StatusActive
Last updated in NPPESMay 8, 2026

Details

NPI
1366964751
Entity type
Individual (NPI-1)
Name
Ashley Wynne Jacobsen
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2017
Certification date
May 8, 2026
Last updated
May 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA11323TXYes

Practice location

19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372

Phone 210-265-8851

Mailing address

19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372

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