Individual
MR. JOSEPH MICHAEL IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
500 LEXINGTON VLG, PEACHTREE CITY, GA 30269-6857
(678) 628-3877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN294205
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN294205
GA
Other
Enumeration date
11/21/2022
Last updated
09/25/2024
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