Individual provider · Type 1 NPI

Sophie Jacobs, PA-C

Physician Assistant · Phoenix, AZ

NPI number 1407603301 Active

Practice location

1441 N 12th St
Phoenix, AZ 85006-2837

Call (602) 521-3050 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11110 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407603301

Sophie Jacobs, PA-C's National Provider Identifier is 1407603301, issued on Apr 30, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 10, 2025.