MRS. DELWIN B. JACOBY DNP ARNP NPI 1720042542

NPI Information

NPI: 1720042542
Provider Name: MRS. DELWIN B. JACOBY, DNP, ARNP,
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
549 E 3RD ST
LEXINGTON, KY
ZIP 40508
Phone: (859) 367-7400
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MRS. Delwin B. Jacoby, DNP, ARNP, is a pediatrics nurse practitioner in Lexington, KY. MRS. Delwin B. Jacoby, DNP, ARNP, NPI is 1720042542. 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:

549 E 3RD ST
LEXINGTON, KY
ZIP 40508-612
Phone: (859) 367-7400
Fax: (859) 367-6194

The NPI 1720042542 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 11/9/2015.

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	163W00000X	Registered Nurse		1042113	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3000960	KENTUCKY	No
3	363LP0200X	Nurse Practitioner	Pediatrics	3000960	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00603002	MEDICARE PIN	KENTUCKY
2	R38156	MEDICARE UPIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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