Active NPIIndividual provider

Mrs. Jennifer J Goulas, NP

Nurse Practitioner, Gerontology in Palmer, Massachusetts

NPI Number1548561608
Practice location
40 Wright St, Palmer, MA 01069-1138
Fax
—
Last updated
July 1, 2015

Jennifer June Goulas is a Nurse Practitioner, Gerontology based in Palmer, MA. Jennifer June Goulas practices in Palmer, MA and has the professional credentials of NP. The NPI Number for Jennifer June Goulas is 1548561608 and holds a License No. 252530 (MA). The current practice location address for Jennifer June Goulas is 40 Wright St, Palmer, MA 01069-1138 and can be reached out via phone at 413-284-5400.

Provider Profile Details

NPI Number
1548561608
Provider Name
Jennifer June Goulas
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
40 Wright St, Palmer, MA 01069-1138
Phone Number
413-284-5400
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Other Names
Miss Jennifer June Demick (Former Name)
Provider Enumeration Date
November 5, 2010
Last Update Date
July 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Wright St
Palmer, MA 01069-1138
City
Palmer
Zip
01069-1138
Phone Number
413-284-5400
Palmer, MA 01069Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1619
City
Springfield
State
MA
Zip
01199-1619
Phone Number
413-794-5700

License Information

License Number (1)
252530
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN252530
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Mrs. Jennifer J Goulas, NP?

The NPI number of Mrs. Jennifer J Goulas, NP is 1548561608. It was assigned on November 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer J Goulas, NP?

Mrs. Jennifer J Goulas, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 252530.

Where does Mrs. Jennifer J Goulas, NP practice?

The practice location is 40 Wright St, Palmer, MA 01069-1138. The office can be reached at 413-284-5400 (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 1548561608 directly on the NPPES registry website.

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