Active NPIIndividual provider

Jacqueline A Berube, CNP

Nurse Practitioner in Southbridge, Massachusetts

NPI Number1952885816
Practice location
100 South St, Southbridge, MA 01550-4051
Fax
—
Last updated
August 8, 2023

Jacqueline Ann Berube is a Nurse Practitioner based in Southbridge, MA. Jacqueline Ann Berube practices in Southbridge, MA and has the professional credentials of CNP. The NPI Number for Jacqueline Ann Berube is 1952885816 and holds a License No. RN211198 (MA). The current practice location address for Jacqueline Ann Berube is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-9771.

Provider Profile Details

NPI Number
1952885816
Provider Name
Jacqueline Ann Berube
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
100 South St, Southbridge, MA 01550-4051
Phone Number
508-765-9771
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2018
Last Update Date
August 8, 2023
Certification Date
August 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 South St
Southbridge, MA 01550-4051
Zip
01550-4051
Phone Number
508-765-9771
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
64 Allen RD
Sturbridge, MA 01566-1018
City
Sturbridge
State
MA
Zip
01566-1018

License Information

License Number (1)
RN211198
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN211198
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 Jacqueline A Berube, CNP?

The NPI number of Jacqueline A Berube, CNP is 1952885816. It was assigned on September 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Jacqueline A Berube, CNP?

Jacqueline A Berube, CNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN211198.

Where does Jacqueline A Berube, CNP practice?

The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-765-9771 (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 1952885816 directly on the NPPES registry website.

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