KEVIN M JACOBY MSN RN APNP NPI 1679850747

NPI Information

NPI: 1679850747
Provider Name: KEVIN M JACOBY, MSN, RN, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5000 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 874-4316
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Kevin M Jacoby, MSN, RN, APNP is a family nurse practitioner in Milwaukee, WI. Kevin M Jacoby, MSN, RN, APNP NPI is 1679850747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5000 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53210-650
Phone: (414) 874-4316
Fax: (414) 874-4160

The enumeration date for this NPI number is 11/3/2011 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4684-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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