SearchVirginia101YM0800X

Travis Jacobs

NPI 1639007818 · on the registry since 2026 · sole proprietor

Practice

Address
5505 Alson Dr Apt 161a
Norfolk, VA 23508
Phone
(336) 686-2145

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia