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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Phoenix, AZ

No coordinates on file. Search this address in Google Maps

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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