| Doctor Name: | JANA LYNN JACOBS |
| NPI Number: | 1619200516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | AP3453 |
| Business Practice Address: | 9897 W Mcdowell Rd Tolleson, AZ - 853531621 |
| Business Phone Number: | 6234742300 |
| Business Fax Number: | |
| Mailing Address: | 11605 W Monte Vista Rd, AVONDALE |
| State: | AZ |
| Postal Code: | 853925146 |
| Phone Number: | 4804334156 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |