Active NPIIndividual providerSole proprietor

Nicole Mckenna, NP

Nurse Practitioner, Family in South Boston, Massachusetts

NPI Number1912797457
Practice location
559 E 6TH St Unit 2, South Boston, MA 02127-3003
Fax
—
Last updated
May 8, 2025

Nicole Mckenna is a Nurse Practitioner, Family based in South Boston, MA. Nicole Mckenna practices in South Boston, MA and has the professional credentials of NP. The NPI Number for Nicole Mckenna is 1912797457 and holds a License No. RN2317217 (MA). The current practice location address for Nicole Mckenna is 559 E 6TH St Unit 2, South Boston, MA 02127-3003 and can be reached out via phone at 617-797-3290.

Provider Profile Details

NPI Number
1912797457
Provider Name
Nicole Mckenna
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
559 E 6TH St Unit 2, South Boston, MA 02127-3003
Phone Number
617-797-3290
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2025
Last Update Date
May 8, 2025
Certification Date
May 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
559 E 6TH St Unit 2
South Boston, MA 02127-3003
Zip
02127-3003
Phone Number
617-797-3290
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
559 E 6TH St Unit 2
South Boston, MA 02127-3003
City
South Boston
State
MA
Zip
02127-3003
Phone Number
617-797-3290

License Information

License Number
RN2317217
License State
MA
Taxonomy
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 Nicole Mckenna, NP?

The NPI number of Nicole Mckenna, NP is 1912797457. It was assigned on May 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Nicole Mckenna, NP?

Nicole Mckenna, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2317217.

Where does Nicole Mckenna, NP practice?

The practice location is 559 E 6TH St Unit 2, South Boston, MA 02127-3003. The office can be reached at 617-797-3290 (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 1912797457 directly on the NPPES registry website.

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