Nancie G Jaicks, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN544261 Issued in PA

Practice address

337 Brandi Lynn LN
Evans City, PA 16033-7709

Phone

(724) 272-9156

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1033707906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 BRANDI LYNN LN",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160337709",
            "telephone_number": "724-272-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BRANDI LYNN LN",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160337709",
            "telephone_number": "724-272-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAICKS",
        "first_name": "NANCIE",
        "middle_name": "G",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN544261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN544261",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Hoeper, DC
• David A. Huber, D.M.D.
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• Heather Hubert, DPT
• Joshua Hubert, DPT
• Joseph Raymond Mayer, RPH
• Mary Ann McCoppin, SLP-CCC
• Faithann Marian Mustovic, R.PH.
• Northern Communities Medical Associates
• Heather Ann Pence, PHARMD

• Registered Nurse in Evans City, PA
• Providers in Evans City, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.