Individual provider · Type 1 NPI
Carol Elizabeth Jacoby, ACNP
Acute Care Nurse Practitioner · Portland, OR
NPI number
1457368391
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 200150018NP (OR) |
| Acute Care Nurse Practitioner | 363LA2100X | 200140162RN (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1457368391
Carol Elizabeth Jacoby, ACNP's National Provider Identifier is 1457368391, issued on Aug 2, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Aug 15, 2007.