Active NPIIndividual providerSole proprietor

Jacquelynne M Kimani, PMHNP

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1043808454
Practice location
40 Jackson St Ste 1050, Worcester, MA 01608-2313
Fax
—
Last updated
December 19, 2021

Jacquelynne M Kimani is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Jacquelynne M Kimani practices in Worcester, MA and has the professional credentials of PMHNP. The NPI Number for Jacquelynne M Kimani is 1043808454 and holds a License No. RN2283682 (MA). The current practice location address for Jacquelynne M Kimani is 40 Jackson St Ste 1050, Worcester, MA 01608-2313 and can be reached out via phone at 774-420-8961.

Provider Profile Details

NPI Number
1043808454
Provider Name
Jacquelynne M Kimani
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
40 Jackson St Ste 1050, Worcester, MA 01608-2313
Phone Number
774-420-8961
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2021
Last Update Date
December 19, 2021
Certification Date
December 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Jackson St Ste 1050
Worcester, MA 01608-2313
Zip
01608-2313
Phone Number
774-420-8961
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
40 Jackson St Ste 1050
Worcester, MA 01608-2313
City
Worcester
State
MA
Zip
01608-2313
Phone Number
774-420-8961

License Information

License Number (1)
RN2283682
License State (1)
MA
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
RN2283682
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Jacquelynne M Kimani, PMHNP?

The NPI number of Jacquelynne M Kimani, PMHNP is 1043808454. It was assigned on January 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Jacquelynne M Kimani, PMHNP?

Jacquelynne M Kimani, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2283682.

Where does Jacquelynne M Kimani, PMHNP practice?

The practice location is 40 Jackson St Ste 1050, Worcester, MA 01608-2313. The office can be reached at 774-420-8961 (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 1043808454 directly on the NPPES registry website.

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