Individual provider · Type 1 NPI

Diana Lynn Jacobson, R.N., C.P.N.P.

Pediatric Nurse Practitioner · Mesa, AZ

NPI number 1386610822 Active

Practice location

2152 S Vineyard, Suite 129
Mesa, AZ 85210-6871

Fax (480) 732-9333

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR.N.042819 PNP124 (AZ)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

Other pediatric nurse practitioner providers in Mesa

See all in Mesa →

About NPI 1386610822

Diana Lynn Jacobson, R.N., C.P.N.P.'s National Provider Identifier is 1386610822, issued on Feb 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Dec 1, 2008.