Individual
KATIE MAE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4915 E BASELINE RD STE 108, GILBERT, AZ 85234-2966
(480) 249-5525
(888) 990-2056
Mailing address
4915 E BASELINE RD STE 108, GILBERT, AZ 85234-2966
(480) 249-5525
(888) 990-2056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4529
AZ
Other
Enumeration date
09/21/2009
Last updated
10/21/2025
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