Individual
JAMI MARY ELIZABETH JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1550 E FLORENCE BLVD STE 104, CASA GRANDE, AZ 85122-4788
(520) 483-1698
Mailing address
1550 E FLORENCE BLVD STE 104, CASA GRANDE, AZ 85122-4788
(520) 635-5318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219044
AZ
363LF0000X
Family Nurse Practitioner
219044
AZ
Other
Enumeration date
11/08/2018
Last updated
10/18/2023
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