Active NPIIndividual provider

Johnathan M Chambers, CNP

Nurse Practitioner in Worcester, Massachusetts

NPI Number1912583147
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-421-1490
Last updated
September 27, 2022

Johnathan Michael Chambers is a Nurse Practitioner based in Worcester, MA. Johnathan Michael Chambers practices in Worcester, MA and has the professional credentials of CNP. The NPI Number for Johnathan Michael Chambers is 1912583147 and holds a License No. RN2293398 (MA). The current practice location address for Johnathan Michael Chambers is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.

Provider Profile Details

NPI Number
1912583147
Provider Name
Johnathan Michael Chambers
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2021
Last Update Date
September 27, 2022
Certification Date
September 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
RN2293398
License State (1)
MA
Taxonomy (1)
Registered Nurse, Emergency · 163WE0003X
License Number (2)
RN2293398
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Johnathan M Chambers, CNP?

The NPI number of Johnathan M Chambers, CNP is 1912583147. It was assigned on March 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Johnathan M Chambers, CNP?

Johnathan M Chambers, CNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2293398.

Where does Johnathan M Chambers, CNP practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (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 1912583147 directly on the NPPES registry website.

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