IndividualActive
Christina Jacoby, AGCNS-BC, DNP, WCC
NPI 1558248484 · Gerontology Nurse Practitioner · Santa Fe, NM
Provider details
- NPI number
- 1558248484
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGCNS-BC, DNP, WCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN-87695 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Practice location
250 E Alameda St
Santa Fe, NM 87501-2186
Phone: (505) 995-2128
Approximate (ZIP-level) locationGet directions
Mailing address
3016 Walsh Loop Se
Rio Rancho, NM 87124-2960
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.