NICKOLAS NATHANIEL JACKSON

Address: 13471 Bedell St, Jamaica, NY 11434-4551

NICKOLAS NATHANIEL JACKSON (NPI# 1225628993, PAC ID# 4385046333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1225628993
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 4385046333
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20210713002542
Last Name JACKSON
First Name NICKOLAS
Middle Name NATHANIEL
Gender M
Address 13471 Bedell St
Jamaica
NY 11434-4551
Telephone 3477599040
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 2020
Primary Specialty NURSE PRACTITIONER
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment M

Provider Overview

Nation Provider ID (NPI) 1225628993
by National Plan and Provider Enumeration System (NPPES)
Full Name NICKOLAS NATHANIEL JACKSON
Taxonomy Code 363LF0000X
Taxonomy Classification Nurse Practitioner · Family
Location 13471 Bedell St, Jamaica, NY 11434-4551

Office Location

Street Address
City JAMAICA
State NY
Zip Code 11434-4551

Physicians in the same zip code prefix

Name Specialty Organization Address
Elaine P Brown Obstetrics/Gynecology Joseph P. Addabbo Family Health Center, Inc. 11439 Sutphin Blvd, Jamaica, NY 11434-1022
Sybil R Nurse-Reeves Clinical Social Worker 13130 Merrick Blvd, Jamaica, NY 11434-4134
Usman H Ali Physician Assistant City Medical of Upper East Side, Pllc 13030 Farmers Blvd, Jamaica, NY 11434-4122
Usha Alfred Nurse Practitioner The Child Center of Ny Inc 11515 Sutphin Blvd, Jamaica, NY 11434-1020
Yulan Nash-Daniel Nurse Practitioner 11630 Sutphin Blvd, Jamaica, NY 11434-1527
Addy Nnsewo Internal Medicine 13130 Merrick Blvd, Jamaica, NY 11434-4134
Jacques C Antoine Family Medicine Prominis Medical Services PC 13704 Guy R Brewer Blvd, Suite 1a, Jamaica, NY 11434-3700
Charlene A Andrews Internal Medicine 16995 137th Ave, Jamaica, NY 11434-4517
Sandra Elizabeth Paucar Clinical Social Worker The Child Center of Ny Inc 11515 Sutphin Blvd, Jamaica, NY 11434-1020
Ari J Benjamin Internal Medicine Joseph P. Addabbo Family Health Center, Inc. 11439 Sutphin Blvd, Jamaica, NY 11434-1022
Find all in zip 11434

Competitor

Search similar physicians

City JAMAICA
Zip Code 11434
Specialty NURSE PRACTITIONER
City + Specialty JAMAICA + NURSE PRACTITIONER

Physicians with similar names

Name Specialty Organization Address
J. Nickolas Berbos Ophthalmology 1321 N Harbor Blvd, Suite 300, Fullerton, CA 92835-4131
Nickolas Mccann Chiropractic 34406 N 27th Dr, Suite 140, Phoenix, AZ 85085-6079
Nickolas Vastis Optometry 1510 Onyx Rdg, Suite 101, Fort Mill, SC 29708-8970
Nickolas F Hanna Family Medicine 5310 Valley Ridge Plz, Middleton, WI 53562-2053
Nickolas Vartholomeos Physical Therapy 877 Stewart Ave, Suite 17, Garden City, NY 11530-4803
Nickolas A Allen Chiropractic 4206 W 24th Ave, Apt A102, Kennewick, WA 99338-9311
Nickolas L Lewis Chiropractic 1619 Victor Rd Nw, Lancaster, OH 43130-7883
Nickolas B Garcia Physician Assistant 14603 Huebner Rd, Suite 28101, San Antonio, TX 78230-5469
Nickolas Evangelos Poulos Dermatology 6071 E Woodmen Rd, Suite 230, Colorado Springs, CO 80923-2622
Nickolas Katsoulakis Ophthalmology Stephen G Krates Do PC 7340 W College Dr 2nd Floor, Palos Heights, IL 60463-1159

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.