Individual
MS. DEBORAH ANN JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-2263
(602) 933-4256
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2311
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP9775
AZ
363LP0200X
Pediatric Nurse Practitioner
F381056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235781
—
AZ
Enumeration date
12/22/2005
Last updated
07/02/2018
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