Individual
MRS. AMY MICHELLE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6627 W VIA DONA RD, PHOENIX, AZ 85083-7411
(602) 826-9701
Mailing address
6627 W VIA DONA RD, PHOENIX, AZ 85083-7411
(602) 826-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RNP291277
AZ
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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