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

Mr. Jacob Smith

Individual provider Contractor · NPI 1043825698

Mr. Jacob Smith is a Contractor in Mesa, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

960 W Southern Ave Apt 2006
Mesa, AZ 85210-4968
Phone: (602) 488-6496
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1043825698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address960 W Southern Ave Apt 2006, Mesa, AZ 85210-4968

Other providers in Mesa