Nicole Dinicola, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1821363391
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1821363391
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Dinicola
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2012
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA4372 | MA | Yes |
Other names
- Nicole Jackson (Other Name)
Practice location
725 Albany StreetSuite 3a, Shapiro Building
Boston, MA 02118
Phone 617-638-8419 · Fax 617-414-0201
Mailing address
960 Massachusetts AvenueFl 2
Boston, MA 02118-2690
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