Jennifer M Costa, NP
Nurse Practitioner in Worcester, Massachusetts
1225246341- Practice location
- 55 Lake Ave N, Pediatric Hematology-Oncology, Worcester, MA 01655-0002
- Phone
- 508-856-4225
- Fax
- 774-441-8057
- Last updated
- November 10, 2020
Jennifer M Costa is a Nurse Practitioner based in Worcester, MA. Jennifer M Costa practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Jennifer M Costa is 1225246341 and holds a License No. RN253211 (MA). The current practice location address for Jennifer M Costa is 55 Lake Ave N, Pediatric Hematology-Oncology, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-4225 and via fax at 774-441-8057.
Provider Profile Details
- NPI Number
- 1225246341
- Provider Name
- Jennifer M Costa
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Pediatric Hematology-Oncology, Worcester, MA 01655-0002
- Phone Number
- 508-856-4225
- Fax Number
- 774-441-8057
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- -- Jennifer M Spencer, NP (Former Name)
- Provider Enumeration Date
- May 21, 2007
- Last Update Date
- November 10, 2020
- Certification Date
- November 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Pediatric Hematology-Oncology
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-856-4225
- Fax Number
- 774-441-8057
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- RN253211
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Pediatrics · 363LP0200X
- License Number (2)
- RN253211
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · 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 Jennifer M Costa, NP?
The NPI number of Jennifer M Costa, NP is 1225246341. It was assigned on May 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennifer M Costa, NP?
Jennifer M Costa, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN253211.
Where does Jennifer M Costa, NP practice?
The practice location is 55 Lake Ave N, Pediatric Hematology-Oncology, Worcester, MA 01655-0002. The office can be reached at 508-856-4225 (phone) or 774-441-8057 (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 1225246341 directly on the NPPES registry website.