National Provider Identifier
Nicole Jacobs
Nicole Jacobs is listed in the NPPES registry with a primary specialty of Dental Hygienist in Lockport, NY and a listed phone number of (716) 994-2855.
Profile Overview
- NPI
- 1619746187
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- December 26, 2023
- Last Updated
- December 26, 2023
Practice Location
- 13 Columbia St # Rr
- Lockport, NY 14094-4201
Phone: (716) 994-2855
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1619746187
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Nicole
- Mailing Street Address
- 13 Columbia St # Rr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-4201
- Mailing Country
- US
- Mailing Phone
- (716) 994-2855
- Practice Street Address
- 13 Columbia St # Rr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-4201
- Practice Country
- US
- Practice Phone
- (716) 994-2855
- Enumeration Date
- December 26, 2023
- Last Updated
- December 26, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)