Active NPIIndividual provider

Jill R Siskind, APRN

Nurse Practitioner, Acute Care in Southbridge, Massachusetts

NPI Number1497741680
Practice location
100 South St, Southbridge, MA 01550-4051
Fax
508-909-7735
Last updated
December 21, 2011

Jill Robin Siskind is a Nurse Practitioner, Acute Care based in Southbridge, MA. Jill Robin Siskind practices in Southbridge, MA and has the professional credentials of APRN. The NPI Number for Jill Robin Siskind is 1497741680 and holds a License No. E37913 (CT). The current practice location address for Jill Robin Siskind is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-9771 and via fax at 508-909-7735.

Provider Profile Details

NPI Number
1497741680
Provider Name
Jill Robin Siskind
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
100 South St, Southbridge, MA 01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2005
Last Update Date
December 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 South St
Southbridge, MA 01550-4051
Zip
01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
100 South St
Southbridge, MA 01550-4051
City
Southbridge
State
MA
Zip
01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735

License Information

License Number (1)
E37913
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
001917
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
RN134682
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Acute Care · 363LA2100X · 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 Jill R Siskind, APRN?

The NPI number of Jill R Siskind, APRN is 1497741680. It was assigned on September 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Jill R Siskind, APRN?

Jill R Siskind, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in CT under license number E37913.

Where does Jill R Siskind, APRN practice?

The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-765-9771 (phone) or 508-909-7735 (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 1497741680 directly on the NPPES registry website.

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