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

Jacquelyn Marie Nickele

Individual provider Dentist · NPI 1922418169

Jacquelyn Marie Nickele is a Dentist in Louisville, Kentucky. Licensed in Indiana and Kentucky. Registered with an NPI since 2014.

Licensed in
IN, KY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1815 Bardstown Rd
Louisville, KY 40205-1433
Phone: (502) 459-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 9476 (KY)
Dentist Taxonomy 122300000X · Licence 9476 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 12012676A (IN)

Record details

NPI number1922418169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESMay 31, 2017

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