person
Diana Lynn Jacobson, RN,CPNP
Pediatric Nurse Practitioner in Mesa, Arizona
NPI 1386610822

Diana Lynn Jacobson is a Pediatric Nurse Practitioner based in Mesa, AZ and is specialized in Pediatrics. Diana Lynn Jacobson practices in Mesa, AZ and has the professional credentials of RN,CPNP. The NPI Number for Diana Lynn Jacobson is 1386610822 and holds a License No. R.N.042819 PNP124 (Arizona).

The current practice location address for Diana Lynn Jacobson is 2152 S Vineyard, Mesa, AZ and can be reached out via phone at 480-732-0044 and via fax at 480-732-9333.

Location: 2152 S Vineyard, Mesa, AZ, 85210-6871
person
Provider Profile Details
NPI Number
1386610822
Provider Name
Diana Lynn Jacobson
Credential
RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
2152 S Vineyard, Mesa, AZ, 85210-6871
Phone Number
480-732-0044
Fax Number
480-732-9333
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431528 05 AZ
institution
Provider Business Practice Location Address Details
Address
2152 S Vineyard
City
State
Zip
85210-6871
Phone Number
480-732-0044
Fax Number
480-732-9333
person
Provider Business Mailing Address Details
Address
2152 S Vineyard
City
State
Zip
85210-6871
Phone Number
480-732-0044
Fax Number
480-732-9333
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R.N.042819 PNP124 (Arizona)
Definition
Definition to come...
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