Individual
ELIZABETH ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
Mailing address
2800 PONY DR, LAKE HAVASU CITY, AZ 86406-8434
(928) 680-9396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN117185
AZ
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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