Active NPIIndividual provider

Jessica Boldridge

Internal Medicine, Nephrology in Fairhaven, Massachusetts

NPI Number1578023503
Practice location
208 Mill RD, Fairhaven, MA 02719-5208
Fax
—
Last updated
August 20, 2026

Jessica Boldridge is an Internal Medicine, Nephrology based in Fairhaven, MA. Jessica Boldridge practices in Fairhaven, MA. The NPI Number for Jessica Boldridge is 1578023503 and holds a License No. 25MA13148900 (NJ). The current practice location address for Jessica Boldridge is 208 Mill RD, Fairhaven, MA 02719-5208 and can be reached out via phone at 609-756-7371.

Provider Profile Details

NPI Number
1578023503
Provider Name
Jessica Boldridge
Provider Entity Type
Individual
Gender
Female
Address
208 Mill RD, Fairhaven, MA 02719-5208
Phone Number
609-756-7371
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2019
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
208 Mill RD
Fairhaven, MA 02719-5208
Zip
02719-5208
Phone Number
609-756-7371
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104

License Information

License Number
25MA13148900
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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 Jessica Boldridge?

The NPI number of Jessica Boldridge is 1578023503. It was assigned on March 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica Boldridge?

Jessica Boldridge is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25MA13148900.

Where does Jessica Boldridge practice?

The practice location is 208 Mill RD, Fairhaven, MA 02719-5208. The office can be reached at 609-756-7371 (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 1578023503 directly on the NPPES registry website.

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