Active NPIIndividual providerSole proprietor

Jennifer Ryan

Licensed Practical Nurse in Mattapan, Massachusetts

NPI Number1174958763
Practice location
1135 Morton St, Mattapan, MA 02126-2834
Fax
617-533-2341
Last updated
September 13, 2013

Jennifer Ryan is a Licensed Practical Nurse based in Mattapan, MA. Jennifer Ryan practices in Mattapan, MA. The NPI Number for Jennifer Ryan is 1174958763 and holds a License No. LN67522 (MA). The current practice location address for Jennifer Ryan is 1135 Morton St, Mattapan, MA 02126-2834 and can be reached out via phone at 617-533-2300 and via fax at 617-533-2341.

Provider Profile Details

NPI Number
1174958763
Provider Name
Jennifer Ryan
Provider Entity Type
Individual
Gender
Female
Address
1135 Morton St, Mattapan, MA 02126-2834
Phone Number
617-533-2300
Fax Number
617-533-2341
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2013
Last Update Date
September 13, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
Zip
02126-2834
Phone Number
617-533-2300
Fax Number
617-533-2341
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
398 Neponset Ave
Dorchester, MA 02122-3134
City
Dorchester
State
MA
Zip
02122-3134

License Information

License Number
LN67522
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 Jennifer Ryan?

The NPI number of Jennifer Ryan is 1174958763. It was assigned on September 13, 2013 and is currently active in the NPPES registry.

What is the specialty of Jennifer Ryan?

Jennifer Ryan is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN67522.

Where does Jennifer Ryan practice?

The practice location is 1135 Morton St, Mattapan, MA 02126-2834. The office can be reached at 617-533-2300 (phone) or 617-533-2341 (fax).

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 1174958763 directly on the NPPES registry website.

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