Ms. Michelle A Jack, RN
Registered Nurse in Mattapan, Massachusetts
1720165715- Practice location
- 1425 Blue Hill Avenue, Mattapan Community Health Center, Mattapan, MA 02126
- Phone
- 617-898-9013
- Fax
- 617-296-1421
- Last updated
- July 8, 2007
Michelle A Jack is a Registered Nurse based in Mattapan, MA. Michelle A Jack practices in Mattapan, MA and has the professional credentials of RN. The NPI Number for Michelle A Jack is 1720165715 and holds a License No. 252437 (MA). The current practice location address for Michelle A Jack is 1425 Blue Hill Avenue, Mattapan Community Health Center, Mattapan, MA 02126 and can be reached out via phone at 617-898-9013 and via fax at 617-296-1421.
Provider Profile Details
- NPI Number
- 1720165715
- Provider Name
- Michelle A Jack
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1425 Blue Hill Avenue, Mattapan Community Health Center, Mattapan, MA 02126
- Phone Number
- 617-898-9013
- Fax Number
- 617-296-1421
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1425 Blue Hill Avenue
Mattapan Community Health Center
Mattapan, MA 02126 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126
- Phone Number
- 617-898-9013
- Fax Number
- 617-296-1421
Provider Business Mailing Address Details
- Address
- 5 Seiden St
Dorchester, MA 02124 - City
- Dorchester
- State
- MA
- Zip
- 02124
- Phone Number
- 617-822-7523
License Information
- License Number
- 252437
- License State
- MA
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Mattapan, MA
View all Registered Nurses in Mattapan →- Ann Marie Mcguire, RNRegistered Nurse · NPI 1982950101
- Carline Cazeau, RNRegistered Nurse · NPI 1447481692
- Carol Crawford, RNRegistered Nurse · NPI 1528362415
- Christiaan Van DammeRegistered Nurse · NPI 1649605791
- Christine Carlsen, RNRegistered Nurse · NPI 1821392853
- Corinne SiebenRegistered Nurse · NPI 1548621048
Frequently Asked Questions
What is the NPI number of Ms. Michelle A Jack, RN?
The NPI number of Ms. Michelle A Jack, RN is 1720165715. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Michelle A Jack, RN?
Ms. Michelle A Jack, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 252437.
Where does Ms. Michelle A Jack, RN practice?
The practice location is 1425 Blue Hill Avenue, Mattapan Community Health Center, Mattapan, MA 02126. The office can be reached at 617-898-9013 (phone) or 617-296-1421 (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 1720165715 directly on the NPPES registry website.