Michelle A Jack in Mattapan - Registered Nurse
Michelle A Jack - NPI 1720165715
Michelle A Jack is a Registered Nurse in Mattapan, Massachusetts. Michelle A Jack practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Michelle A Jack is 1720165715. The last update date is 2007-07-08.
Michelle A Jack's current location address is 1425 Blue Hill Avenue, Mattapan, Massachusetts. You can contact this provider via phone number 6178989013 and fax number 6172961421. The mailing address for Michelle A Jack is 1425 Blue Hill Avenue, Mattapan, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle A Jack |
|---|---|
| Address | 1425 Blue Hill Avenue, Mattapan, Massachusetts |
| Phone Number | 6178989013 |
| Fax Number | 6172961421 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1720165715 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 Blue Hill Avenue |
|---|---|
| City | Mattapan |
| State | Massachusetts (MA) |
| Post Code | 2126 |
| Phone Number | 6178989013 |
| Fax Number | 6172961421 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 252437 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michelle A Jack by the Centers for Medicare & Medicaid Services?
The Michelle A Jack has been assigned the NPI (National Provider Identifier) 1720165715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Michelle A Jack's physical address?
The Michelle A Jack is physically located at 1425 Blue Hill Avenue, in the city of Mattapan, MA, with the postal code 2126.
What is Michelle A Jack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle A Jack is Registered Nurse, and the taxonomy classification code that categorizes this area of expertise is 163W00000X.
On what date did the Michelle A Jack receive the assignment of its 1720165715 from the Centers for Medicare & Medicaid Services?
The Michelle A Jack was issued its 1720165715 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the Michelle A Jack's information last updated?
The Michelle A Jack's information was last updated on 2007-07-08.
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