Active NPIIndividual provider

Jillian B Poomcharoen, NP

Nurse Practitioner, Family in Plainville, Massachusetts

NPI Number1669074308
Practice location
60 Messenger St, Plainville, MA 02762-2258
Fax
508-342-1912
Last updated
May 9, 2024

Jillian Blanche Poomcharoen is a Nurse Practitioner, Family based in Plainville, MA. Jillian Blanche Poomcharoen practices in Plainville, MA and has the professional credentials of NP. The NPI Number for Jillian Blanche Poomcharoen is 1669074308 and holds a License No. RN2305937 (MA). The current practice location address for Jillian Blanche Poomcharoen is 60 Messenger St, Plainville, MA 02762-2258 and can be reached out via phone at 508-809-6378 and via fax at 508-342-1912.

Provider Profile Details

NPI Number
1669074308
Provider Name
Jillian Blanche Poomcharoen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60 Messenger St, Plainville, MA 02762-2258
Phone Number
508-809-6378
Fax Number
508-342-1912
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2020
Last Update Date
May 9, 2024
Certification Date
May 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Messenger St
Plainville, MA 02762-2258
Zip
02762-2258
Phone Number
508-809-6378
Fax Number
508-342-1912
Plainville, MA 02762Get directions →

Provider Business Mailing Address Details

Address
287 Chauncy St Unit C302
Mansfield, MA 02048-1182
City
Mansfield
State
MA
Zip
02048-1182
Phone Number
401-309-1541

License Information

License Number (1)
RN2305937
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2305937
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Jillian B Poomcharoen, NP?

The NPI number of Jillian B Poomcharoen, NP is 1669074308. It was assigned on November 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Jillian B Poomcharoen, NP?

Jillian B Poomcharoen, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2305937.

Where does Jillian B Poomcharoen, NP practice?

The practice location is 60 Messenger St, Plainville, MA 02762-2258. The office can be reached at 508-809-6378 (phone) or 508-342-1912 (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 1669074308 directly on the NPPES registry website.

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