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

Nicole Ackley, PA

Individual provider Physician Assistant · NPI 1689763351

Nicole Ackley, PA is a Physician Assistant in Bradford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

900 Chestnut Street Ext Ste A
Bradford, PA 16701-2298
Phone: (814) 368-8490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA052663 (PA)

Record details

NPI number1689763351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESSeptember 21, 2016

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