IndividualActive
Beth Jaco, CPNP
NPI 1205086261 · Pediatric Nurse Practitioner · Gilbert, AZ
Provider details
- NPI number
- 1205086261
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN073431 (AZ)
Practice location
2680 S. Val Vista Drive
Suite 167, Bld 12
Gilbert, AZ 85295
Phone: (480) 857-0222
Fax: (480) 857-0200
Mailing address
2680 S. Val Vista Drive
Gilbert, AZ 85295
Registry dates
- Enumerated
- 2008-09-26
- Last updated
- 2008-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.