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Nicole Jackowski
Nurse Practitioner in Bentleyville, Pennsylvania
NPI 1528576618

Nicole Jackowski is a Nurse Practitioner based in Fredericktown, PA. Nicole Jackowski practices in Bentleyville, PA. The NPI Number for Nicole Jackowski is 1528576618 and holds a License No. SP018536 (Pennsylvania).

The current practice location address for Nicole Jackowski is 100 Wilson Road, Bentleyville, PA and can be reached out via phone at 724-239-2390 and via fax at 724-239-2393.

Location: 100 Wilson Road, Bentleyville, PA, 15333-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528576618
Provider Name
Nicole Jackowski
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Wilson Road, Bentleyville, PA, 15333-2114
Phone Number
724-239-2390
Fax Number
724-239-2393
Provider Enumeration Date
01/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Wilson Road
City
Bentleyville
State
Pennsylvania
Zip
15314-1028
Phone Number
724-239-2390
Fax Number
724-239-2393
person
Provider Business Mailing Address Details
Address
100 Wilson Road
City
Bentleyville
State
Pennsylvania
Zip
15314-1028
Phone Number
724-239-2390
Fax Number
724-239-2393
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
SP018536 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
SP018536 (Pennsylvania)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
SP018536 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
School
Taxonomy
363LS0200X
License No.
SP018536 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
SP018536 (Pennsylvania)
Definition
Definition to come...
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