CHRISTY JACOBO RN NPI 1699445874

NPI Information

NPI: 1699445874
Provider Name: CHRISTY JACOBO, RN
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
11050 SE CHERRY BLOSSOM DR
PORTLAND, OR
ZIP 97216
Phone: (702) 773-7869
Get Directions

Christy Jacobo, RN is a gerontology registered nurse in Portland, OR. Christy Jacobo, RN NPI is 1699445874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11050 SE CHERRY BLOSSOM DR
PORTLAND, OR
ZIP 97216-540
Phone: (702) 773-7869

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.

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	163WG0600X	Registered Nurse	Gerontology	201608791RN	OREGON	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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