Individual provider · Type 1 NPI

Jacqueline R. Costello, DNP, APRN, CPNP

Pediatric Nurse Practitioner · Wilson, NC

NPI number 1003850405 Active

Practice location

1801 Glendale Dr SW
Wilson, NC 27893-4499

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5006348 (NC)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

Other pediatric nurse practitioner providers in Wilson

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About NPI 1003850405

Jacqueline R. Costello, DNP, APRN, CPNP's National Provider Identifier is 1003850405, issued on Jun 15, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wilson, NC. The record was last updated on Feb 12, 2026.