Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELLE A JACK, RN
ActiveMS. MICHELLE A JACK, RN is a Registered Nurse healthcare provider located in MATTAPAN, Massachusetts. NPI 1720165715 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · MATTAPAN, MA
Registration Details
- NPI Number
- 1720165715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.640466298463 yrs)
- Last Updated
- Jul 8, 2007
- License
-
252437 (MA)
Practice Information
- Address
-
1425 BLUE HILL AVENUEMATTAPAN COMMUNITY HEALTH CENTERMATTAPAN, MA, 02126Browse MA providers · Browse ZIP 02126
- Phone
- 6178989013
- Fax
- 6172961421
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in MATTAPAN, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIE I C ST HUBERT | RN | 1861579856 |
| MRS. SHARON T CALLENDER | RN MPH | 1962576728 |
| JENNIFER MORISSET | LPN | 1124192992 |
| MRS. ETHEL EILEEN ROSADO | RN | 1437226149 |
| MRS. VENUS R GRAY | RN | 1629145297 |
| MRS. VANESSA GEAN TAYLOR | REGISTERED NURSE | 1780747766 |
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.