Individual provider · Type 1 NPI
Heena Nissaraly, DNP, RN, AGNP-C
Nurse Practitioner · Jamaica Plain, MA
Practice location
3297 Washington St
Jamaica Plain, MA 02130-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2349337 (MA) |
| Nurse Practitioner Primary | 363L00000X | AG07250146 (MA) |
Nurse Practitioner: (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 wit…
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About NPI 1013890433
Heena Nissaraly, DNP, RN, AGNP-C's National Provider Identifier is 1013890433, issued on Jul 31, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Feb 4, 2026.