Jessica Shahda is a Nurse Practitioner based in Boston, MA. Jessica Shahda practices in Boston, MA. The NPI Number for Jessica Shahda is 1972970564 and holds a License No. 71005654A (Massachusetts).
The current practice location address for Jessica Shahda is 55 Fruit St, Boston, MA and can be reached out via phone at 857-238-1050.
Location: 55 Fruit St, Boston, MA, 02114-2621
Provider Profile Details
NPI Number
1972970564
Provider Name
Jessica Shahda
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02114-2621
Phone Number
857-238-1050
Fax Number
Provider Enumeration Date
08/31/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01588254 | 01 | IN | MEDICARE RAILROAD PTAN |
| 201315670 | 05 | IN |
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
857-238-1050
Fax Number
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
857-238-1050
Fax Number
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
RN2366832 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71005654A (Indiana)
Definition
Definition to come...
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