Active NPIIndividual provider

Jaclyn Humphrey, CRNA

Nurse Anesthetist, Certified Registered in Westwood, Massachusetts

NPI Number1619384336
Practice location
690 Canton St, Suite 325, Westwood, MA 02090-2321
Fax
781-407-0998
Last updated
July 15, 2014

Jaclyn Humphrey is a Nurse Anesthetist, Certified Registered based in Westwood, MA. Jaclyn Humphrey practices in Westwood, MA and has the professional credentials of CRNA. The NPI Number for Jaclyn Humphrey is 1619384336 and holds a License No. 2271787 (MA). The current practice location address for Jaclyn Humphrey is 690 Canton St, Suite 325, Westwood, MA 02090-2321 and can be reached out via phone at 781-407-7713 and via fax at 781-407-0998.

Provider Profile Details

NPI Number
1619384336
Provider Name
Jaclyn Humphrey
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
690 Canton St, Suite 325, Westwood, MA 02090-2321
Phone Number
781-407-7713
Fax Number
781-407-0998
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 15, 2014
Last Update Date
July 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Zip
02090-2321
Phone Number
781-407-7713
Fax Number
781-407-0998
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
690 Canton St
Suite 325
Westwood, MA 02090-2321
City
Westwood
State
MA
Zip
02090-2321
Phone Number
781-407-7713
Fax Number
781-407-0998

License Information

License Number
2271787
License State
MA
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Jaclyn Humphrey, CRNA?

The NPI number of Jaclyn Humphrey, CRNA is 1619384336. It was assigned on July 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Humphrey, CRNA?

Jaclyn Humphrey, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 2271787.

Where does Jaclyn Humphrey, CRNA practice?

The practice location is 690 Canton St, Suite 325, Westwood, MA 02090-2321. The office can be reached at 781-407-7713 (phone) or 781-407-0998 (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 1619384336 directly on the NPPES registry website.

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