Jacobi, Deborah Ann

Jacobi, Deborah Ann is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacobi, Deborah Ann can be contacted via phone (602) 933-2263.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016
Phone: (602) 933-2263
Fax: (602) 933-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381056 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP9775 Arizona

Profile Details

NPI number 1134105950
LBN Legal business name Jacobi, Deborah Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134105950 NPPES
Arizona MEDICAID 235781

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