# DIANA LYNN JACOBSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386610822
- **Gender:** F
- **Credential:** R.N.,C.P.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | R.N.042819 PNP124 | AZ | Yes |

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 12/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 431528 | — | AZ |