Individual provider · Type 1 NPI
Jacqueline Nicolas, FNP-C
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1366848038
Active
Practice location
100 W 33rd St Ste 1019
New York, NY 10001-2974
Mailing address
160 E Sunrise Hwy # 1087
Freeport, NY 11520-3945
Other practice locations
- 80 5th Ave Ste 903-10, New York, NY 10011-8002 · (347) 707-7735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339034-01 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F408389-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1366848038
Jacqueline Nicolas, FNP-C's National Provider Identifier is 1366848038, issued on Nov 7, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Aug 25, 2026.