Ms. Jennifer R Bertolon, CPNP, RN
Nurse Practitioner, Pediatrics in Beverly, Massachusetts
1104171321- Practice location
- 245 Dodge St, Beverly, MA 01915-1275
- Phone
- 978-618-0239
- Fax
- —
- Last updated
- July 14, 2012
Jennifer Rose Bertolon is a Nurse Practitioner, Pediatrics based in Beverly, MA. Jennifer Rose Bertolon practices in Beverly, MA and has the professional credentials of CPNP, RN. The NPI Number for Jennifer Rose Bertolon is 1104171321 and holds a License No. RN2269678 (MA). The current practice location address for Jennifer Rose Bertolon is 245 Dodge St, Beverly, MA 01915-1275 and can be reached out via phone at 978-618-0239.
Provider Profile Details
- NPI Number
- 1104171321
- Provider Name
- Jennifer Rose Bertolon
- Credential
- CPNP, RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 245 Dodge St, Beverly, MA 01915-1275
- Phone Number
- 978-618-0239
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2012
- Last Update Date
- July 14, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 245 Dodge St
Beverly, MA 01915-1275 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-1275
- Phone Number
- 978-618-0239
Provider Business Mailing Address Details
- Address
- 245 Dodge St
Beverly, MA 01915-1275 - City
- Beverly
- State
- MA
- Zip
- 01915-1275
- Phone Number
- 978-618-0239
License Information
- License Number (1)
- RN2269678
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Pediatrics · 163WP0200X
- License Number (2)
- 20121422
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Jennifer R Bertolon, CPNP, RN?
The NPI number of Ms. Jennifer R Bertolon, CPNP, RN is 1104171321. It was assigned on July 14, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Jennifer R Bertolon, CPNP, RN?
Ms. Jennifer R Bertolon, CPNP, RN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2269678.
Where does Ms. Jennifer R Bertolon, CPNP, RN practice?
The practice location is 245 Dodge St, Beverly, MA 01915-1275. The office can be reached at 978-618-0239 (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 1104171321 directly on the NPPES registry website.