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Precious K Jackollie, PMHNP-BC, APRN

Nurse Practitioner, Psych/Mental Health in Drexel Hill, PA. Individual provider (NPI-1).

NPI number1790399178
StatusActive
Last updated in NPPESOct 21, 2026

Details

NPI
1790399178
Entity type
Individual (NPI-1)
Name
Precious K Jackollie
Credential
PMHNP-BC, APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 3, 2020
Certification date
Oct 21, 2026
Last updated
Oct 21, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthSP037077PAYes
104100000X Social Worker––

Practice location

23-10 Valley Rd Apt 10
Drexel Hill, PA 19026-5404

Phone 267-449-9423

Mailing address

23-10 Valley Rd Apt 10
Drexel Hill, PA 19026-5404

Phone 267-449-9423

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Drexel Hill, PA

All 5 Psychiatric/Mental Health Nurse Practitioner providers in Drexel Hill · All 656 providers in Drexel Hill

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