Active NPIIndividual provider

Blondel Jarvis

Nurse Practitioner, Family in Randolph, Massachusetts

NPI Number1225317670
Practice location
5 Scally Cir, Randolph, MA 02368-2443
Fax
339-837-1076
Last updated
February 24, 2023

Blondel Jarvis is a Nurse Practitioner, Family based in Randolph, MA. Blondel Jarvis practices in Randolph, MA. The NPI Number for Blondel Jarvis is 1225317670 and holds a License No. RN241852 (MA). The current practice location address for Blondel Jarvis is 5 Scally Cir, Randolph, MA 02368-2443 and can be reached out via phone at 339-837-1449 and via fax at 339-837-1076.

Provider Profile Details

NPI Number
1225317670
Provider Name
Blondel Jarvis
Provider Entity Type
Individual
Gender
Female
Address
5 Scally Cir, Randolph, MA 02368-2443
Phone Number
339-837-1449
Fax Number
339-837-1076
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2011
Last Update Date
February 24, 2023
Certification Date
February 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Scally Cir
Randolph, MA 02368-2443
Zip
02368-2443
Phone Number
339-837-1449
Fax Number
339-837-1076
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
75 N Main St # 578
Randolph, MA 02368-4605
City
Randolph
State
MA
Zip
02368-4605
Phone Number
339-837-1449
Fax Number
339-837-1076

License Information

License Number (1)
RN241852
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
RN241852
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Blondel Jarvis?

The NPI number of Blondel Jarvis is 1225317670. It was assigned on August 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Blondel Jarvis?

Blondel Jarvis is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN241852.

Where does Blondel Jarvis practice?

The practice location is 5 Scally Cir, Randolph, MA 02368-2443. The office can be reached at 339-837-1449 (phone) or 339-837-1076 (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 1225317670 directly on the NPPES registry website.

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