Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dynamic Family Health NP PLLC

Organization Family Nurse Practitioner · NPI 1487470423

Dynamic Family Health NP PLLC provides Family Nurse Practitioner services in East Patchogue, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 Medford Ave
East Patchogue, NY 11772-1307
Phone: (929) 519-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1487470423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nickolas Jackson — Owner · (347) 759-9040
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024
Mailing address13471 Bedell St, Jamaica, NY 11434-4551

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