Jennifer A Staton in Medford - Nurse Practitioner
Jennifer A Staton - NPI 1639131980
Jennifer A Staton is a Nurse Practitioner in Medford, Massachusetts. Jennifer A Staton practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer A Staton is 1639131980. The last update date is 2007-07-08.
Jennifer A Staton's current location address is 26 City Hall Mall, Medford, Massachusetts. You can contact this provider via phone number 7813065100 and fax number 7813065379. The mailing address for Jennifer A Staton is 26 City Hall Mall, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer A Staton |
|---|---|
| Address | 26 City Hall Mall, Medford, Massachusetts |
| Phone Number | 7813065100 |
| Fax Number | 7813065379 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1639131980 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 City Hall Mall |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21554754 |
| Phone Number | 7813065100 |
| Fax Number | 7813065379 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 217755 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP3042 | MA | BLUE CROSS | |
| C198 | MA | HARVARD PILGRIM | |
| 382680 | MA | -- |
Post Comment/ Review Below
What is the Jennifer A Staton's 1639131980?
The Jennifer A Staton's NPI (National Provider Identifier) Number is 1639131980. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jennifer A Staton's facilities are situated?
The facilities of Jennifer A Staton are physically located at the following address: 26 City Hall Mall, Medford, MA, 21554754.
What is Jennifer A Staton'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 Jennifer A Staton is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did the Jennifer A Staton receive its 1639131980?
The Jennifer A Staton was issued its 1639131980 on 2006-04-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jennifer A Staton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer A Staton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.