Nicole Jackowski
Nicole Jackowski is a General Practice Physician in Bentleyville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.
- Licensed in
- PA
- In the registry since
- 2018
- Specialties on file
- 5
Practice location Address checks out
100 Wilson RdBentleyville, PA 15314-1028
Phone: (724) 239-2390
Fax: (724) 239-2393
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence SP018536 (PA) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence SP018536 (PA) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence SP018536 (PA) |
| School Nurse Practitioner | Taxonomy 363LS0200X · Licence SP018536 (PA) |
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence SP018536 (PA) |
Record details
| NPI number | 1528576618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | March 21, 2019 |
| Mailing address | 1070 Old National Pike Road, Fredericktown, PA 15333-2114 |