Individual provider · Type 1 NPI

Jessica Nicole Nicklo, FNP

Family Nurse Practitioner · Latham, NY

NPI number 1447183496 Active

Practice location

713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490

Fax (518) 944-2560

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice locations

  • 1440 Western Ave, Albany, NY 12203-3421 · (518) 451-7570
  • 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 · (518) 269-4700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X360001 (NY)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1447183496

Jessica Nicole Nicklo, FNP's National Provider Identifier is 1447183496, issued on Jun 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Latham, NY. The record was last updated on Sep 10, 2026.