Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marylou Jacobo, CNA

Individual provider Nurse's Aide · NPI 1811584451

Marylou Jacobo, CNA is a Nurse's Aide in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

10401 N Cave Creek Rd Lot 306
Phoenix, AZ 85020-1601
Phone: (623) 258-7712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 1000026769 (AZ)

Record details

NPI number1811584451
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedDecember 29, 2020
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

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