Individual provider · Type 1 NPI

Nichole Michelle Jacobsen, RN

Registered Nurse · Central Islip, NY

NPI number 1366178071 Active

Practice location

50 Wheeler Rd
Central Islip, NY 11722-2154

Call (631) 538-0505 Map

Fax (631) 439-0768

Mailing address

200 Wireless Blvd
Hauppauge, NY 11788-3974

Other practice locations

  • 200 Wireless Blvd, Hauppauge, NY 11788-3974 · (631) 853-7373

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X728838-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1366178071

Nichole Michelle Jacobsen, RN's National Provider Identifier is 1366178071, issued on Jul 26, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Central Islip, NY. The record was last updated on Feb 28, 2023.