Active NPIIndividual provider

Rosevan Vickery, RN, FNP-BC

Nurse Practitioner, Family in Jamaica Plain, Massachusetts

NPI Number1285386235
Practice location
1153 Centre St, Jamaica Plain, MA 02130-3446
Fax
—
Last updated
April 23, 2025

Rosevan Vickery is a Nurse Practitioner, Family based in Jamaica Plain, MA. Rosevan Vickery practices in Jamaica Plain, MA and has the professional credentials of RN, FNP-BC. The NPI Number for Rosevan Vickery is 1285386235 and holds a License No. RN2330687 (MA). The current practice location address for Rosevan Vickery is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7000.

Provider Profile Details

NPI Number
1285386235
Provider Name
Rosevan Vickery
Credential
RN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1153 Centre St, Jamaica Plain, MA 02130-3446
Phone Number
617-983-7000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 21, 2022
Last Update Date
April 23, 2025
Certification Date
April 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1153 Centre St
Jamaica Plain, MA 02130-3446
Zip
02130-3446
Phone Number
617-983-7000
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
13 Willow St Apt 303
Lynn, MA 01901-1230
City
Lynn
State
MA
Zip
01901-1230
Phone Number
203-889-8157

License Information

License Number
RN2330687
License State
MA
Taxonomy
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 Rosevan Vickery, RN, FNP-BC?

The NPI number of Rosevan Vickery, RN, FNP-BC is 1285386235. It was assigned on January 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Rosevan Vickery, RN, FNP-BC?

Rosevan Vickery, RN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2330687.

Where does Rosevan Vickery, RN, FNP-BC practice?

The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7000 (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 1285386235 directly on the NPPES registry website.

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