Individual provider · Type 1 NPI

Katherine Lee Jacoby, RN, CPNP

Pediatric Nurse Practitioner · Orange, CA

NPI number 1760683908 Active

Practice location

455 S Main St
Orange, CA 92868-3835

Call (713) 532-8704 Map

Mailing address

1520 E Adams Ave
Orange, CA 92867-5909

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X653944 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760683908

Katherine Lee Jacoby, RN, CPNP's National Provider Identifier is 1760683908, issued on May 28, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orange, CA. The record was last updated on Jul 8, 2007.