Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Pescatore Jacobson, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700406477

Michael Pescatore Jacobson, PA-C is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2122 E Highland Ave Ste 335
Phoenix, AZ 85016-4760
Phone: (602) 824-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006734RX (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700406477
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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