JESSICA NICOLE NICKLO FNP - NPI 1447183496 - Nurse Practitioner in Latham, NY

Q: What is Jessica Nicklo's NPI number?

The NPI number for Jessica Nicklo is 1447183496. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Q: What is Jessica Nicklo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Nicklo was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Nicole Nicklo Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NICOLE NICKLO FNP (NPI 1447183496) is an individual family provider in Latham, New York, licensed in New York (360001) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1447183496

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA NICOLE NICKLOCredential: FNP

Location Address713 TROY SCHENECTADY RD STE 224Latham, NY 12110-2490

Mailing Address809 24th StWatervliet, NY 12189-2023 · (518) 248-1389

Phone(518) 269-4700

Sole ProprietorNo

Enumeration DateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1447183496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 360001

713 TROY SCHENECTADY RD STE 224, Latham, NY 12110

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIANNA JONES HALLENBECK FNP

Student in an Organized Health Care Education/Training Program