Individual
NIKKI CHRISTINA JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
14994 E AZTEC PL, FOUNTAIN HILLS, AZ 85268-1614
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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