Active NPIIndividual providerSole proprietor

Jennifer T Oung Mathurin, NP

Nurse Practitioner, Psych/Mental Health in Brockton, Massachusetts

NPI Number1073148540
Practice location
1 Pearl St # 1600A, Brockton, MA 02301-2864
Fax
—
Last updated
September 29, 2026

Jennifer Thim Oung Mathurin is a Nurse Practitioner, Psych/Mental Health based in Brockton, MA. Jennifer Thim Oung Mathurin practices in Brockton, MA and has the professional credentials of NP. The NPI Number for Jennifer Thim Oung Mathurin is 1073148540 and holds a License No. RN2318611 (MA). The current practice location address for Jennifer Thim Oung Mathurin is 1 Pearl St # 1600A, Brockton, MA 02301-2864 and can be reached out via phone at 617-924-6484.

Provider Profile Details

NPI Number
1073148540
Provider Name
Jennifer Thim Oung Mathurin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1 Pearl St # 1600A, Brockton, MA 02301-2864
Phone Number
617-924-6484
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2020
Last Update Date
September 29, 2026
Certification Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Pearl St # 1600A
Brockton, MA 02301-2864
Zip
02301-2864
Phone Number
617-924-6484
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
1 Pearl St # 1600A
Brockton, MA 02301-2864
City
Brockton
State
MA
Zip
02301-2864

License Information

License Number (1)
RN2318611
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2318611
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (3)
RN2318611
License State (3)
MA
Taxonomy (3)
Internal Medicine · 207R00000X

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 Jennifer T Oung Mathurin, NP?

The NPI number of Jennifer T Oung Mathurin, NP is 1073148540. It was assigned on March 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Jennifer T Oung Mathurin, NP?

Jennifer T Oung Mathurin, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2318611.

Where does Jennifer T Oung Mathurin, NP practice?

The practice location is 1 Pearl St # 1600A, Brockton, MA 02301-2864. The office can be reached at 617-924-6484 (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 1073148540 directly on the NPPES registry website.

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