Individual provider · Type 1 NPI
Kim Moon Ja Jacoby, RN, BS
Addiction (Substance Use Disorder) Registered Nurse · Cortland, NY
NPI number
1659109643
Active
Practice location
6 Euclid Ave
Cortland, NY 13045-1257
Mailing address
800 Macbean Ln
Cortland, NY 13045-9310
Other practice locations
- 334 W State St, Ithaca, NY 14850-5432 · (607) 273-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 467366-01 (NY) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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- Nabil H AbbassiInternal Medicine Physician Cortland, NY NPI 1467570481
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- Andrew S. Chernow, DPMPodiatrist Cortland, NY NPI 1396769352
- Anna Cassidy Scott, DDSGeneral Practice Dentistry Cortland, NY NPI 1316775059
- Elizabeth Anselm, RN BSNRegistered Nurse Cortland, NY NPI 1659184869
- Elyn L. Ring, MDInternal Medicine Physician Cortland, NY NPI 1295792133
- Jaclyn Braman, CASACAddiction (Substance Use Disorder) Counselor Cortland, NY NPI 1760926844
Other addiction (substance use disorder) registered nurse providers in Cortland
About NPI 1659109643
Kim Moon Ja Jacoby, RN, BS's National Provider Identifier is 1659109643, issued on Jul 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Cortland, NY. The record was last updated on Aug 8, 2024.