Nicole Jacobson
Medical Specialty
Professional ID
- NPI: 1386197622
- PECOS ID: 1850672528
- Enrollment ID: I20170111003468
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Medical Practices
- Organization Name: Ati Holdings Of Arizona, Llc
- Group Practice ID assigned by PECOS: 2466732862
- Number of Group Practice member: 120
Location
- Address1: 18561 59th Ave
- Address2: Suite 117
- City: Scottsdale
- State: Arizona
- Zip Code: 85306
- Phone Number: (632)486-3012
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):