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

Jacob Thompson

Individual provider Registered Nurse · NPI 1548976210

Jacob Thompson is a Registered Nurse in Roosevelt, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

16 Park Pl
Roosevelt, NY 11575-1725
Phone: (516) 595-5991
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 356398 (NY)

Record details

NPI number1548976210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address16 Park Pl, Roosevelt, NY 11575-1725

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