Active NPIIndividual providerSole proprietor

Joshua J Selly, NP

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1205594579
Practice location
285 Plantation St Apt 627, Worcester, MA 01604-7715
Fax
—
Last updated
December 3, 2021

Joshua Jackson Selly is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Joshua Jackson Selly practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Joshua Jackson Selly is 1205594579 and holds a License No. RN2303725 (MA). The current practice location address for Joshua Jackson Selly is 285 Plantation St Apt 627, Worcester, MA 01604-7715 and can be reached out via phone at 508-736-3326.

Provider Profile Details

NPI Number
1205594579
Provider Name
Joshua Jackson Selly
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
285 Plantation St Apt 627, Worcester, MA 01604-7715
Phone Number
508-736-3326
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 3, 2021
Last Update Date
December 3, 2021
Certification Date
December 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
285 Plantation St Apt 627
Worcester, MA 01604-7715
Zip
01604-7715
Phone Number
508-736-3326
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
285 Plantation St Apt 627
Worcester, MA 01604-7715
City
Worcester
State
MA
Zip
01604-7715
Phone Number
508-736-3326

License Information

License Number
RN2303725
License State
MA
Taxonomy
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 Joshua J Selly, NP?

The NPI number of Joshua J Selly, NP is 1205594579. It was assigned on December 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Joshua J Selly, NP?

Joshua J Selly, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2303725.

Where does Joshua J Selly, NP practice?

The practice location is 285 Plantation St Apt 627, Worcester, MA 01604-7715. The office can be reached at 508-736-3326 (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 1205594579 directly on the NPPES registry website.

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