Individual
JACKYLINE N KIKOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(774) 240-6869
Mailing address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(774) 240-6869
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
24193111
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2319823
MA
Other
Enumeration date
11/18/2024
Last updated
04/28/2025
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