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

Stephanie Jackob, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1962107847

Stephanie Jackob, AGPCNP-BC is a Nurse Practitioner in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

488 Freedom Plains Rd
Poughkeepsie, NY 12603-2689
Phone: (845) 452-5151
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 311229 (NY)

Record details

NPI number1962107847
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

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