IndividualActive
Marie Grace Jacildo
NPI 1346830262 · Psychiatric/Mental Health Registered Nurse · Watertown, NY
Provider details
- NPI number
- 1346830262
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 734882 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Jb Wise Plaza
Watertown, NY 13601-1360
Phone: (315) 788-7430
Fax: (315) 785-5637
Street-level locationGet directions
Mailing address
Po Box 6550
Watertown, NY 13601-6550
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-25
- Certified
- 2021-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.