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Kaisa T Jacobsen, NP
Family Nurse Practitioner in Peoria, Arizona
NPI 1316725260

Kaisa T Jacobsen is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Kaisa T Jacobsen practices in Peoria, AZ and has the professional credentials of NP. The NPI Number for Kaisa T Jacobsen is 1316725260 and holds a License No. 297002 (Arizona).

The current practice location address for Kaisa T Jacobsen is 8088 W Whitney Dr, Peoria, AZ and can be reached out via phone at 920-264-4130.

Location: 8088 W Whitney Dr, Peoria, AZ, 85004-1770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316725260
Provider Name
Kaisa T Jacobsen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8088 W Whitney Dr, Peoria, AZ, 85004-1770
Phone Number
920-264-4130
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8088 W Whitney Dr
City
Peoria
State
Arizona
Zip
85345-6564
Phone Number
920-264-4130
Fax Number
person
Provider Business Mailing Address Details
Address
8088 W Whitney Dr
City
Peoria
State
Arizona
Zip
85345-6564
Phone Number
920-264-4130
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
297002 (Arizona)
Definition
Definition to come...
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