| NPI | 1861621831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACOBSON Psychiatric Nurse Practitioner 520-870-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN 106778 AP1265) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |