Individual provider · Type 1 NPI
Jordan Lynne Sidebottom, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Salem, MA
NPI number
1053243659
Active
Practice location
19 Bertuccio Ave
Salem, MA 01970-2931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2265344 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053243659
Jordan Lynne Sidebottom, PMHNP-BC's National Provider Identifier is 1053243659, issued on May 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, MA. The record was last updated on May 30, 2026.