KAISA T JACOBSEN

PEORIA, AZ
NPI1316725260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  297002)
Enumeration Date2023-09-20
Last Update Date2023-09-27
Business Address
KAISA T JACOBSEN NP
8088 W WHITNEY DR
PEORIA, AZ 85345-6564
Phone number: 920-264-4130
Mailing Address
KAISA T JACOBSEN NP
1313 N 2ND ST APT 1420
PHOENIX, AZ 85004-1770
Phone number:
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