National Provider Identifier
Jacqueline Anne Mickol, FNP
Jacqueline Anne Mickol, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-3281.
Profile Overview
- NPI
- 1073542387
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 30, 2006
- Last Updated
- August 26, 2011
Practice Location
- 601 Elmwood Ave
- Box 320
- Rochester, NY 14642-0001
Phone: (585) 275-3281
Mailing Address
- 1063 Edgewood Ave
- Rochester, NY 14618-5358
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1073542387
- Entity Type
- Individual
- Last Name
- Mickol
- First Name
- Jacqueline
- Middle Name
- Anne
- Name Prefix
- MS.
- Credential
- FNP
- Mailing Street Address
- 1063 Edgewood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5358
- Mailing Country
- US
- Mailing Phone
- (585) 473-6646
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 320
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3281
- Enumeration Date
- June 30, 2006
- Last Updated
- August 26, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)