Nicole Kosakowski, PA
Physician Assistant in Jacksonville, North Carolina
1356784292- Practice location
- 120 Memorial Dr, Jacksonville, NC 28546-6328
- Phone
- 910-353-0581
- Fax
- 910-577-1150
- Last updated
- November 3, 2023
Nicole Kosakowski is a Physician Assistant based in Jacksonville, NC. Nicole Kosakowski practices in Jacksonville, NC and has the professional credentials of PA. The NPI Number for Nicole Kosakowski is 1356784292 and holds a License No. 0010-09068 (NC). The current practice location address for Nicole Kosakowski is 120 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-577-1150.
Provider Profile Details
- NPI Number
- 1356784292
- Provider Name
- Nicole Kosakowski
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Memorial Dr, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2013
- Last Update Date
- November 3, 2023
- Certification Date
- November 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Memorial Dr
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
Provider Business Mailing Address Details
- Address
- Po Box 986513
Dept 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- License Number
- 0010-09068
- License State
- NC
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Jacksonville, NC
View all Physician Assistants in Jacksonville →Frequently Asked Questions
What is the NPI number of Nicole Kosakowski, PA?
The NPI number of Nicole Kosakowski, PA is 1356784292. It was assigned on April 10, 2013 and is currently active in the NPPES registry.
What is the specialty of Nicole Kosakowski, PA?
Nicole Kosakowski, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-09068.
Where does Nicole Kosakowski, PA practice?
The practice location is 120 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-577-1150 (fax).
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 1356784292 directly on the NPPES registry website.