Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON MACBETH PENDERGAST
ActiveJASON MACBETH PENDERGAST is a Case Management Nurse healthcare provider located in LAWRENCE, Massachusetts. NPI 1649883596 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · LAWRENCE, MA
Registration Details
- NPI Number
- 1649883596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2020 (5.9924210831321 yrs)
- Last Updated
- Aug 28, 2020
- License
-
RN2290756 (MA)
Practice Information
- Address
-
439 S UNION ST UNIT 403LAWRENCE, MA, 018432837Browse MA providers · Browse ZIP 01843
- Phone
- 8666102273
- Fax
- 6174261311
- Primary Specialty
-
Case Management Nurse
163WC0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.