Diana Lynn Jacobson, RN,CPNP - Nurse Practitioner in Mesa, AZ

Diana Lynn Jacobson, RN,CPNP is a Nurse Practitioner - Pediatrics based in Mesa, Arizona. Diana Lynn Jacobson is licensed to practice in Arizona (license number R.N.042819 PNP124) and her current practice location is 2152 S Vineyard, Suite 129, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 732-0044.

NPI number for Diana Lynn Jacobson is 1386610822 and her current mailing address is 2152 S Vineyard, Suite 129, Mesa, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386610822.

Contact Information

Diana Lynn Jacobson, RN,CPNP
2152 S Vineyard, Suite 129,
Mesa, AZ 85210-6871
(480) 732-0044
(480) 732-9333

Map and Direction




Provider's Profile

Full NameDiana Lynn Jacobson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2152 S Vineyard, Mesa, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386610822
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 12/01/2008

Medical Identifiers

Medical identifiers for Diana Lynn Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386610822NPI-NPPES
431528MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics R.N.042819 PNP124 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Lynn Jacobson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diana Lynn Jacobson, RN,CPNP
2152 S Vineyard, Suite 129,
Mesa, AZ 85210-6871

Ph: (480) 732-0044
Diana Lynn Jacobson, RN,CPNP
2152 S Vineyard, Suite 129,
Mesa, AZ 85210-6871

Ph: (480) 732-0044

Reviews and Comments


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