KIMBERLY ANN JACOBY PNP-PC
NPI 1821347311
Nurse Practitioner - Pediatrics in Oregon City, OR

Q: What is Kimberly Jacoby's NPI number?

The NPI number for Kimberly Jacoby is 1821347311. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Q: What is Kimberly Jacoby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jacoby was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 30, 2012

1425 BEAVERCREEK ROAD, OREGON CITY, OR 97045(503) 655-8471(503) 655-8595 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kimberly Ann Jacoby Pnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN JACOBY PNP-PC (NPI 1821347311) is an individual pediatrics provider in Oregon City, Oregon, licensed in Oregon (202100947NP-PP) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1821347311

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIMBERLY ANN JACOBYCredential: PNP-PC

Location Address1425 BEAVERCREEK ROADOregon City, OR 97045-4023

Mailing Address613 N Birch StCanby, OR 97013-3326 · (503) 341-3944

Phone(503) 655-8471

Fax(503) 655-8595

Sole ProprietorNo

Enumeration DateAugust 30, 2012

Last NPPES UpdateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1821347311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OR · 202100947NP-PP

1425 BEAVERCREEK ROAD, Oregon City, OR 97045

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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 Kimberly Jacoby's NPI number?

The NPI number for Kimberly Jacoby is 1821347311. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Kimberly Jacoby located?

Kimberly Jacoby practices at 1425 Beavercreek Road, Oregon City, OR 97045. The listed phone number is (503) 655-8471.

What is Kimberly Jacoby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Jacoby was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.