Active NPIIndividual providerSole proprietor

Jacqueline M Diaz, RN

Registered Nurse in Beverly, Massachusetts

NPI Number1780524173
Practice location
100 Cummings Ctr Ste 307E, Beverly, MA 01915-6107
Fax
—
Last updated
October 28, 2026

Jacqueline Marie Diaz is a Registered Nurse based in Beverly, MA. Jacqueline Marie Diaz practices in Beverly, MA and has the professional credentials of RN. The NPI Number for Jacqueline Marie Diaz is 1780524173 and holds a License No. APRN10007408 (MA). The current practice location address for Jacqueline Marie Diaz is 100 Cummings Ctr Ste 307E, Beverly, MA 01915-6107 and can be reached out via phone at 978-922-2280.

Provider Profile Details

NPI Number
1780524173
Provider Name
Jacqueline Marie Diaz
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
100 Cummings Ctr Ste 307E, Beverly, MA 01915-6107
Phone Number
978-922-2280
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2026
Last Update Date
October 28, 2026
Certification Date
October 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Zip
01915-6107
Phone Number
978-922-2280
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
15 Delaware Ave
Springfield, MA 01119-1943
City
Springfield
State
MA
Zip
01119-1943
Phone Number
413-626-1977

License Information

License Number (1)
APRN10007408
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
RN2301675
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X · 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 Jacqueline M Diaz, RN?

The NPI number of Jacqueline M Diaz, RN is 1780524173. It was assigned on March 30, 2026 and is currently active in the NPPES registry.

What is the specialty of Jacqueline M Diaz, RN?

Jacqueline M Diaz, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number APRN10007408.

Where does Jacqueline M Diaz, RN practice?

The practice location is 100 Cummings Ctr Ste 307E, Beverly, MA 01915-6107. The office can be reached at 978-922-2280 (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 1780524173 directly on the NPPES registry website.

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