Active NPIIndividual providerSole proprietor

Clytendre Jean-Michel, LPN

Licensed Practical Nurse in Dorchester, Massachusetts

NPI Number1649050535
Practice location
49 Theodore St, Dorchester, MA 02124-4090
Fax
—
Last updated
September 29, 2023

Clytendre Jean-Michel is a Licensed Practical Nurse based in Dorchester, MA. Clytendre Jean-Michel practices in Dorchester, MA and has the professional credentials of LPN. The NPI Number for Clytendre Jean-Michel is 1649050535 and holds a License No. LN101447 (MA). The current practice location address for Clytendre Jean-Michel is 49 Theodore St, Dorchester, MA 02124-4090 and can be reached out via phone at 617-943-5173.

Provider Profile Details

NPI Number
1649050535
Provider Name
Clytendre Jean-Michel
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
49 Theodore St, Dorchester, MA 02124-4090
Phone Number
617-943-5173
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2023
Last Update Date
September 29, 2023
Certification Date
September 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Theodore St
Dorchester, MA 02124-4090
Zip
02124-4090
Phone Number
617-943-5173
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
49 Theodore St
Dorchester, MA 02124-4090
City
Dorchester
State
MA
Zip
02124-4090
Phone Number
617-943-5173

License Information

License Number
LN101447
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · 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 Clytendre Jean-Michel, LPN?

The NPI number of Clytendre Jean-Michel, LPN is 1649050535. It was assigned on September 29, 2023 and is currently active in the NPPES registry.

What is the specialty of Clytendre Jean-Michel, LPN?

Clytendre Jean-Michel, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN101447.

Where does Clytendre Jean-Michel, LPN practice?

The practice location is 49 Theodore St, Dorchester, MA 02124-4090. The office can be reached at 617-943-5173 (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 1649050535 directly on the NPPES registry website.

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