Active NPIIndividual providerSole proprietor

Kisha Jean

Licensed Practical Nurse in Dorchester, Massachusetts

NPI Number1043710346
Practice location
415 Columbia RD, Dorchester, MA 02125-2424
Fax
—
Last updated
February 14, 2018

Kisha Jean is a Licensed Practical Nurse based in Dorchester, MA. Kisha Jean practices in Dorchester, MA. The NPI Number for Kisha Jean is 1043710346 and holds a License No. ln89021 (MA). The current practice location address for Kisha Jean is 415 Columbia RD, Dorchester, MA 02125-2424 and can be reached out via phone at 617-218-7800.

Provider Profile Details

NPI Number
1043710346
Provider Name
Kisha Jean
Provider Entity Type
Individual
Gender
Female
Address
415 Columbia RD, Dorchester, MA 02125-2424
Phone Number
617-218-7800
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2018
Last Update Date
February 14, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Columbia RD
Dorchester, MA 02125-2424
Zip
02125-2424
Phone Number
617-218-7800
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
415 Columbia RD
Dorchester, MA 02125-2424
City
Dorchester
State
MA
Zip
02125-2424

License Information

License Number
ln89021
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kisha Jean?

The NPI number of Kisha Jean is 1043710346. It was assigned on February 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Kisha Jean?

Kisha Jean is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number ln89021.

Where does Kisha Jean practice?

The practice location is 415 Columbia RD, Dorchester, MA 02125-2424. The office can be reached at 617-218-7800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043710346 directly on the NPPES registry website.

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