Nicole Jackson
NPI 1972977825 · Substance Use Disorder Rehabilitation Clinic/Center · Smithtown, NY
Nicole Jackson is a Substance Use Disorder Rehabilitation Clinic/Center provider in Smithtown, NY (NPI 1972977825).
Provider details
- NPI number
- 1972977825
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 089076 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-11-16
- Last updated
- 2015-11-16
Frequently asked questions
- What is Nicole Jackson's NPI number?
- Nicole Jackson's National Provider Identifier (NPI) is 1972977825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Jackson's specialty?
- Nicole Jackson is listed in the NPPES registry with a primary specialty of Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nicole Jackson located?
- Nicole Jackson's practice location on file with NPPES is 11 Route 111, Smithtown, NY 11787-3753.
- What is Nicole Jackson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Jackson is (631) 920-8300.
- Is Nicole Jackson's NPI active?
- Yes — Nicole Jackson's NPI (1972977825) is active in the NPPES registry as of the last update on 2015-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.