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

Dynamic Family Health NP PLLC

Organization Family Nurse Practitioner · NPI 1487470423

Dynamic Family Health NP PLLC is a Family Nurse Practitioner in East Patchogue, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 Medford Ave
East Patchogue, NY 11772-1307
Phone: (929) 519-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1487470423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nickolas Jackson — Owner · (347) 759-9040
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024
Mailing address13471 Bedell St, Jamaica, NY 11434-4551

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