Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAKE FORREST VISCO, BA
ActiveMR. JAKE FORREST VISCO, BA is a Counselor healthcare provider located in NANTUCKET, Massachusetts. NPI 1972990984 is currently active in the NPPES registry. Verify at CMS.
Counselor · NANTUCKET, MA
Registration Details
- NPI Number
- 1972990984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2015 (11.142591976081 yrs)
- Last Updated
- Apr 17, 2015
Practice Information
- Address
-
20 VESPER LNNANTUCKET, MA, 025544394Browse MA providers · Browse ZIP 02554
- Phone
- 5082282689
- Fax
- 5082283613
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in NANTUCKET, MA
| Name | Credential | NPI |
|---|---|---|
| KRISTIE LYNN WILSON | — | 1912209297 |
| MS. TARLTON HEATH COOPER | — | 1669759023 |
| MRS. JACLYN JOYCE NORMAND | B.A., MSW INTERN | 1588936454 |
| CANDICE TETRAULT | — | 1780086215 |
| MISS EVIE O'CONNOR | BS | 1750829180 |
| MRS. STACEY LEAH DUTRA | MSW | 1760909733 |
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.