Active NPIIndividual provider

Jacquelyn Rawan, NP

Nurse Practitioner, Family in Quincy, Massachusetts

NPI Number1326717612
Practice location
700 Crown Colony Dr, Quincy, MA 02169-0924
Fax
—
Last updated
September 9, 2021

Jacquelyn Rawan is a Nurse Practitioner, Family based in Quincy, MA. Jacquelyn Rawan practices in Quincy, MA and has the professional credentials of NP. The NPI Number for Jacquelyn Rawan is 1326717612 and holds a License No. 7210338 (MA). The current practice location address for Jacquelyn Rawan is 700 Crown Colony Dr, Quincy, MA 02169-0924 and can be reached out via phone at 617-472-3400.

Provider Profile Details

NPI Number
1326717612
Provider Name
Jacquelyn Rawan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
700 Crown Colony Dr, Quincy, MA 02169-0924
Phone Number
617-472-3400
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2021
Last Update Date
September 9, 2021
Certification Date
September 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Crown Colony Dr
Quincy, MA 02169-0924
City
Quincy
Zip
02169-0924
Phone Number
617-472-3400
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
59 Kinnicutt RD
Worcester, MA 01602-1548
City
Worcester
State
MA
Zip
01602-1548
Phone Number
508-439-9575

License Information

License Number (1)
7210338
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
7210338
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 Jacquelyn Rawan, NP?

The NPI number of Jacquelyn Rawan, NP is 1326717612. It was assigned on September 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Jacquelyn Rawan, NP?

Jacquelyn Rawan, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 7210338.

Where does Jacquelyn Rawan, NP practice?

The practice location is 700 Crown Colony Dr, Quincy, MA 02169-0924. The office can be reached at 617-472-3400 (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 1326717612 directly on the NPPES registry website.

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