Individual
JESSICA LYNN ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2222 E HIGHLAND AVE STE 400, PHOENIX, AZ 85016-4880
(602) 277-4868
(602) 230-9350
Mailing address
1760 E RIVER RD STE 350, TUCSON, AZ 85718-5999
(520) 519-7700
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4571
AZ
363LF0000X
Family Nurse Practitioner
F0612491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
766637
AHCCCS
AZ
Enumeration date
07/25/2012
Last updated
10/20/2021
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