AUTUM RENEE JACOBS FNP-BC NPI 1235954926

NPI Information

  • NPI: 1235954926
  • Provider Name: AUTUM RENEE JACOBS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 AINSWORTH DR STE A
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 771-5548

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NPI Details

Autum Renee Jacobs, FNP-BC is a family nurse practitioner in Prescott, AZ with 2 years of experience. Autum Renee Jacobs, FNP-BC NPI is 1235954926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 AINSWORTH DR STE A
PRESCOTT, AZ
ZIP 86301-613
Phone: (928) 771-5548
Fax: (928) 771-5549

The NPI 1235954926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 9/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology314886ARIZONANo
2363LF0000XNurse PractitionerFamily314886ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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