SearchNew York363LF0000X

Nickolas Jackson, FNP, RN

NPI 1225628993 · on the registry since 2021 · sole proprietor

Practice

Address
13471 Bedell St
Jamaica, NY 11434
Phone
(347) 759-9040

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York