Individual
CHAIM G JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10707 W CAMELBACK RD, PHOENIX, AZ 85037-5073
(480) 213-4552
Mailing address
1313 E MILADA DR, PHOENIX, AZ 85042-7953
(480) 213-4552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5395
AZ
Other
Enumeration date
01/21/2014
Last updated
02/20/2017
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