KIM MOON JA JACOBY RN, BS
NPI 1659109643
Registered Nurse - Addiction (Substance Use Disorder) in Cortland, NY
About Kim Moon Ja Jacoby Rn, Bs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM MOON JA JACOBY RN, BS (NPI 1659109643) is an individual addiction (substance use disorder) provider in Cortland, New York, licensed in New York (467366-01) and active in the NPI registry since July 2024. She maintains a secondary practice location in Ithaca.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORTLAND, NY 13045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kim Jacoby's NPI number?
The NPI number for Kim Jacoby is 1659109643. It was assigned to this individual provider in the NPPES registry on July 23, 2024. The provider is also known as Kim Moon Ja Jacoby Hornlein Rn, Bs.
Where is Kim Jacoby located?
Kim Jacoby practices at 6 Euclid Ave, Cortland, NY 13045. The listed phone number is (914) 433-3338.
What is Kim Jacoby's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.
When was this NPI record last updated?
The NPPES record for Kim Jacoby was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kim Moon Ja Jacoby, RN, BS · NPI 1659109643
Addiction (Substance Use Disorder) provider in Cortland, New York. Individual provider, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1659109643 (Entity type: Individual)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Registered Nurse - Addiction (Substance Use Disorder) · taxonomy 163WA0400X
- **State license:** 467366-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 EUCLID AVE, Cortland, NY 13045-1257
- **Phone:** (914) 433-3338
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659109643) · Data from the CMS NPPES public registry.