Jackyline N Kikoyo, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Sturbridge, Massachusetts
1144045899- Practice location
- 58 Main St, Sturbridge, MA 01566-1507
- Phone
- 774-240-6869
- Fax
- —
- Last updated
- April 28, 2025
Jackyline N Kikoyo is a Nurse Practitioner, Psych/Mental Health based in Sturbridge, MA. Jackyline N Kikoyo practices in Sturbridge, MA and has the professional credentials of PMHNP-BC. The NPI Number for Jackyline N Kikoyo is 1144045899 and holds a License No. RN2319823 (MA). The current practice location address for Jackyline N Kikoyo is 58 Main St, Sturbridge, MA 01566-1507 and can be reached out via phone at 774-240-6869.
Provider Profile Details
- NPI Number
- 1144045899
- Provider Name
- Jackyline N Kikoyo
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 58 Main St, Sturbridge, MA 01566-1507
- Phone Number
- 774-240-6869
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2024
- Last Update Date
- April 28, 2025
- Certification Date
- April 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 58 Main St
Sturbridge, MA 01566-1507 - City
- Sturbridge
- State
- Massachusetts
- Zip
- 01566-1507
- Phone Number
- 774-240-6869
Provider Business Mailing Address Details
- Address
- 58 Main St
Sturbridge, MA 01566-1507 - City
- Sturbridge
- State
- MA
- Zip
- 01566-1507
- Phone Number
- 774-240-6869
License Information
- License Number (1)
- RN2319823
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- 24193111
- License State (2)
- VA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jackyline N Kikoyo, PMHNP-BC?
The NPI number of Jackyline N Kikoyo, PMHNP-BC is 1144045899. It was assigned on November 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Jackyline N Kikoyo, PMHNP-BC?
Jackyline N Kikoyo, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2319823.
Where does Jackyline N Kikoyo, PMHNP-BC practice?
The practice location is 58 Main St, Sturbridge, MA 01566-1507. The office can be reached at 774-240-6869 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144045899 directly on the NPPES registry website.