Search › Arizona › 363LF0000X
Autum Jacobs, FNP-BC
NPI 1235954926 · on the registry since 2024
Practice
- Address
- 820 Ainsworth Dr Ste A
Prescott, AZ 86301 - Phone
- (928) 771-5548
- Fax
- (928) 771-5549
- Organisation at this address
- Forefront Dermatology Sc
Gladhart Family Medicine
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 6648 N Viewpoint Dr Ste 5, Prescott Valley, AZ
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207RG0100X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona