Individual
EMILY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1747 E NORTHERN AVE UNIT 256, PHOENIX, AZ 85020-3994
(734) 604-6014
Mailing address
1747 E NORTHERN AVE UNIT 256, PHOENIX, AZ 85020-3994
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
AP4349
AZ
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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