Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE JACKOWSKI
ActiveNICOLE JACKOWSKI is a Nurse Practitioner healthcare provider located in BENTLEYVILLE, Pennsylvania. NPI 1528576618 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BENTLEYVILLE, PA
Registration Details
- NPI Number
- 1528576618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2018 (8.4059334928492 yrs)
- Last Updated
- Mar 21, 2019
- Licenses
-
SP018536 (PA)SP018536 (PA)SP018536 (PA)SP018536 (PA)SP018536 (PA)
Practice Information
- Address
-
100 WILSON ROADBENTLEYVILLE, PA, 153141028Browse PA providers · Browse ZIP 15314
- Phone
- 7242392390
- Fax
- 7242392393
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Women's Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in BENTLEYVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| TAMMY FENDYA | — | 1760491484 |
| JESSICA GIORDANO | CRNP | 1760936876 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.