Individual provider · Type 1 NPI
Autum Renee Jacobs, FNP-BC
Family Nurse Practitioner · Prescott, AZ
NPI number
1235954926
Active
Practice location
820 Ainsworth Dr Ste A
Prescott, AZ 86301-1613
Fax (928) 771-5549
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Other practice locations
- 6648 N Viewpoint Dr Ste 5, Prescott Valley, AZ 86315-4942 · (928) 771-5548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Physician | 207RG0100X | 314886 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 314886 (AZ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1235954926
Autum Renee Jacobs, FNP-BC's National Provider Identifier is 1235954926, issued on Nov 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott, AZ. The record was last updated on Sep 29, 2025.