Individual
MS. HEATHER SUZANNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MPH, MSN, CPNP
Contact information
Practice address
10750 W MCDOWELL RD, SUITE G700, AVONDALE, AZ 85392-5960
(623) 873-0321
Mailing address
10750 W MCDOWELL RD, SUITE G700, AVONDALE, AZ 85392-5960
(623) 873-0321
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP4640
AZ
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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