Individual provider · Type 1 NPI
Nickolas Nathaniel Jackson, FNP, RN
Family Nurse Practitioner · Jamaica, NY
NPI number
1225628993
Active
Practice location
13471 Bedell St
Jamaica, NY 11434-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 346970 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1225628993
Nickolas Nathaniel Jackson, FNP, RN's National Provider Identifier is 1225628993, issued on Jan 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jamaica, NY. The record was last updated on Jan 26, 2021.