Individual
JIORI JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28209748A
IN
363LF0000X
Family Nurse Practitioner
Primary
261130
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099103
—
AZ
Enumeration date
06/03/2021
Last updated
08/25/2022
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