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General NPI Number Information
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NPI Number | 1558248484
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Entity Type | Individual
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Provider Name | CHRISTINA ESTELLE JACOBY AGCNS-BC, DNP, WCC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 250 E ALAMEDA ST
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City | SANTA FE
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State | NM
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Zip | 87501-2186
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Country | US
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Telephone | 505-995-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 WALSH LOOP SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-2960
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Country | US
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Telephone | 813-503-6467
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN-87695
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WE0900X
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Taxonomy Name | Enterostomal Therapy Registered Nurse
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License Number | RN-87695
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 85540
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License Number State | NM
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