Active NPIIndividual providerSole proprietor

Jessica Bannon

Nurse Practitioner in Burlington, Massachusetts

NPI Number1457185357
Practice location
41 Burlington Mall Road, Burlington, MA 01805-0001
Fax
—
Last updated
September 26, 2025

Jessica Bannon is a Nurse Practitioner based in Burlington, MA. Jessica Bannon practices in Burlington, MA. The NPI Number for Jessica Bannon is 1457185357 and holds a License No. 076389-23 (NH). The current practice location address for Jessica Bannon is 41 Burlington Mall Road, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-5100.

Provider Profile Details

NPI Number
1457185357
Provider Name
Jessica Bannon
Provider Entity Type
Individual
Gender
Female
Address
41 Burlington Mall Road, Burlington, MA 01805-0001
Phone Number
781-744-5100
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2024
Last Update Date
September 26, 2025
Certification Date
September 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Burlington Mall Road
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-5100
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
159 Peppermint St
Goffstown, NH 03045-2945
City
Goffstown
State
NH
Zip
03045-2945

License Information

License Number (1)
076389-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
RN2315720
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X

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 Jessica Bannon?

The NPI number of Jessica Bannon is 1457185357. It was assigned on September 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Jessica Bannon?

Jessica Bannon is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number 076389-23.

Where does Jessica Bannon practice?

The practice location is 41 Burlington Mall Road, Burlington, MA 01805-0001. The office can be reached at 781-744-5100 (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 1457185357 directly on the NPPES registry website.

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