Individual provider · Type 1 NPI
Delwin B. Jacoby, DNP, ARNP
Pediatric Nurse Practitioner · Lexington, KY
NPI number
1720042542
Active
Practice location
549 E 3rd St
Lexington, KY 40508-1612
Fax (859) 367-6194
Mailing address
870 Corporate Dr, Suite 400
Lexington, KY 40503-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1042113 (KY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 3000960 (KY) |
| Family Nurse Practitioner | 363LF0000X | 3000960 (KY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1720042542
Delwin B. Jacoby, DNP, ARNP's National Provider Identifier is 1720042542, issued on Apr 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lexington, KY. The record was last updated on Nov 9, 2015.