Jacobson, Diana Lynn
Jacobson, Diana Lynn is an individual health care provider with primary practice located at 2152 S Vineyard Suite 129, Mesa AZ 85210-6871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacobson, Diana Lynn can be contacted via phone (480) 732-0044.Contact Information
Primary practice address
2152 S Vineyard Suite 129
Mesa AZ 85210-6871
Phone: (480) 732-0044
Fax: (480) 732-9333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R.N.042819 PNP124 | Arizona |
Profile Details
NPI number | 1386610822 |
---|---|
LBN Legal business name | Jacobson, Diana Lynn |
Credentials | R.N.,C.P.N.P. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Dec 1st, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386610822 | NPPES |
Arizona | MEDICAID | 431528 |
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