Individual
MS. JENNIFER LYNN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
20414 N 27TH AVE, PHOENIX, AZ 85027-3250
(602) 849-0115
(602) 246-7029
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP5614
AZ
363LG0600X
Gerontology Nurse Practitioner
AP5614
AZ
Other
Enumeration date
06/06/2014
Last updated
12/05/2023
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