Individual
JACOB PFETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3131 E CLARENDON AVE STE 107, PHOENIX, AZ 85016-7069
(602) 664-8000
(602) 664-8001
Mailing address
3131 E CLARENDON AVE STE 107, PHOENIX, AZ 85016-7069
(602) 664-8000
(602) 664-8001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
255950
AZ
Other
Enumeration date
03/27/2021
Last updated
04/03/2026
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