Active NPIIndividual provider

Stella Jackson

Registered Nurse in Lynn, Massachusetts

NPI Number1376110064
Practice location
11 Circle Ave, Lynn, MA 01905-3050
Fax
781-595-0773
Last updated
June 10, 2021

Stella Jackson is a Registered Nurse based in Lynn, MA. Stella Jackson practices in Lynn, MA. The NPI Number for Stella Jackson is 1376110064 and holds a License No. RN2287781 (MA). The current practice location address for Stella Jackson is 11 Circle Ave, Lynn, MA 01905-3050 and can be reached out via phone at 781-595-2413 and via fax at 781-595-0773.

Provider Profile Details

NPI Number
1376110064
Provider Name
Stella Jackson
Provider Entity Type
Individual
Gender
Female
Address
11 Circle Ave, Lynn, MA 01905-3050
Phone Number
781-595-2413
Fax Number
781-595-0773
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2021
Last Update Date
June 10, 2021
Certification Date
June 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
Zip
01905-3050
Phone Number
781-595-2413
Fax Number
781-595-0773
Lynn, MA 01905Get directions →

Provider Business Mailing Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
State
MA
Zip
01905-3050

License Information

License Number
RN2287781
License State
MA
Taxonomy
Registered Nurse · 163W00000X · 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 Stella Jackson?

The NPI number of Stella Jackson is 1376110064. It was assigned on June 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Stella Jackson?

Stella Jackson is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2287781.

Where does Stella Jackson practice?

The practice location is 11 Circle Ave, Lynn, MA 01905-3050. The office can be reached at 781-595-2413 (phone) or 781-595-0773 (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 1376110064 directly on the NPPES registry website.

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