Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Moon Ja Jacoby, RN, BS

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1659109643

Kim Moon Ja Jacoby, RN, BS is an Addiction (Substance Use Disorder) Registered Nurse in Cortland, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

6 Euclid Ave
Cortland, NY 13045-1257
Phone: (914) 433-3338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 334 W State St, Ithaca, NY 14850-5432 — (607) 273-5500

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 467366-01 (NY)

Record details

NPI number1659109643
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BS
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address800 Macbean Ln, Cortland, NY 13045-9310

Other providers in Cortland