Jack Nally
Registered Nurse in South Boston, Massachusetts
1255902953- Practice location
- 9 W Broadway Unit 208, South Boston, MA 02127-1042
- Phone
- 781-467-9164
- Fax
- —
- Last updated
- July 5, 2021
Jack Nally is a Registered Nurse based in South Boston, MA. Jack Nally practices in South Boston, MA. The NPI Number for Jack Nally is 1255902953 and holds a License No. RN2311904 (MA). The current practice location address for Jack Nally is 9 W Broadway Unit 208, South Boston, MA 02127-1042 and can be reached out via phone at 781-467-9164.
Provider Profile Details
- NPI Number
- 1255902953
- Provider Name
- Jack Nally
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9 W Broadway Unit 208, South Boston, MA 02127-1042
- Phone Number
- 781-467-9164
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2021
- Last Update Date
- July 5, 2021
- Certification Date
- July 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 W Broadway Unit 208
South Boston, MA 02127-1042 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-1042
- Phone Number
- 781-467-9164
Provider Business Mailing Address Details
- Address
- 9 W Broadway Unit 208
Boston, MA 02127-1042 - City
- Boston
- State
- MA
- Zip
- 02127-1042
License Information
- License Number
- RN2311904
- License State
- MA
- Taxonomy
- Registered Nurse · 163W00000X · 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 Jack Nally?
The NPI number of Jack Nally is 1255902953. It was assigned on July 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Jack Nally?
Jack Nally is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2311904.
Where does Jack Nally practice?
The practice location is 9 W Broadway Unit 208, South Boston, MA 02127-1042. The office can be reached at 781-467-9164 (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 1255902953 directly on the NPPES registry website.