Katherine Lee Jacoby RN, CPNP

NPI 1760683908 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1760683908
Gender Female
Enumeration Date 05/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
455 S MAIN ST
ORANGE CA, 92868-3835, US
Phone (713) 532-8704
Fax
Business Location
1520 E ADAMS AVE
ORANGE CA, 92867-5909, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State California
License Number 653944
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According to our database, Katherine Lee Jacoby RN, CPNP NPI is 1760683908, taxonomy code is 363LP0200X and license number is 653944, license state is located at California. Katherine Lee Jacoby RN, CPNP physically located at 455 S Main St, Orange CA, 92868-3835. NPI Number Katherine Lee Jacoby RN, CPNP has the Individual type.

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1760683908 NPI number is provided on an as is basis without warranty of any kind. 1760683908 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Lee Jacoby RN, CPNP are for informational purposes only.