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

Jacob Costello

Individual provider Critical Care Medicine Registered Nurse · NPI 1508737545

Jacob Costello is a Critical Care Medicine Registered Nurse in Madison, Tennessee. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2025

Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 1-190409 (AL)

Record details

NPI number1508737545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 14, 2025
Mailing address315 Hospital Dr, Madison, TN 37115-5030

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