Tina Jacques, RN
Nurse Practitioner, Psych/Mental Health in Montgomery, Massachusetts
1548821234- Practice location
- 132 Carrington RD, Montgomery, MA 01050-9789
- Phone
- 413-374-2592
- Fax
- —
- Last updated
- July 21, 2020
Tina Jacques is a Nurse Practitioner, Psych/Mental Health based in Montgomery, MA. Tina Jacques practices in Montgomery, MA and has the professional credentials of RN. The NPI Number for Tina Jacques is 1548821234 and holds a License No. RN200077 (MA). The current practice location address for Tina Jacques is 132 Carrington RD, Montgomery, MA 01050-9789 and can be reached out via phone at 413-374-2592.
Provider Profile Details
- NPI Number
- 1548821234
- Provider Name
- Tina Jacques
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 132 Carrington RD, Montgomery, MA 01050-9789
- Phone Number
- 413-374-2592
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2019
- Last Update Date
- July 21, 2020
- Certification Date
- July 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 132 Carrington RD
Montgomery, MA 01050-9789 - City
- Montgomery
- State
- Massachusetts
- Zip
- 01050-9789
- Phone Number
- 413-374-2592
Provider Business Mailing Address Details
- Address
- 132 Carrington RD
Montgomery, MA 01050-9789 - City
- Montgomery
- State
- MA
- Zip
- 01050-9789
- Phone Number
- 413-862-4030
License Information
- License Number
- RN200077
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tina Jacques, RN?
The NPI number of Tina Jacques, RN is 1548821234. It was assigned on June 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Tina Jacques, RN?
Tina Jacques, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN200077.
Where does Tina Jacques, RN practice?
The practice location is 132 Carrington RD, Montgomery, MA 01050-9789. The office can be reached at 413-374-2592 (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 1548821234 directly on the NPPES registry website.