Individual provider · Type 1 NPI

Katie Mae Jacobs, PA

Medical Physician Assistant · Gilbert, AZ

NPI number 1508190760 Active

Practice location

4915 E Baseline Rd Ste 108
Gilbert, AZ 85234-2966

Call (480) 249-5525 Map

Fax (888) 990-2056

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4529 (AZ)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1508190760

Katie Mae Jacobs, PA's National Provider Identifier is 1508190760, issued on Sep 21, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 17, 2026.