Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Jackowski

Individual provider General Practice Physician · NPI 1528576618

Nicole Jackowski is a General Practice Physician in Bentleyville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
Specialties on file
5

Practice location Address checks out

100 Wilson Rd
Bentleyville, PA 15314-1028
Phone: (724) 239-2390
Fax: (724) 239-2393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP018536 (PA)
General Practice Physician Taxonomy 208D00000X · Licence SP018536 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP018536 (PA)
School Nurse Practitioner Taxonomy 363LS0200X · Licence SP018536 (PA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence SP018536 (PA)

Record details

NPI number1528576618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESMarch 21, 2019