Individual provider · Type 1 NPI

Jesica Pagano-Therrien, MSN, RN, CPNP

Nurse Practitioner · Worcester, MA

NPI number 1174766901 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Fax (774) 443-8733

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice locations

  • 119 Belmont St, Worcester, MA 01605-2903 · (774) 442-5545

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN267513 (MA)
Pediatric Nurse Practitioner 363LP0200XRN267513 (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 1174766901

Jesica Pagano-Therrien, MSN, RN, CPNP's National Provider Identifier is 1174766901, issued on Apr 9, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 14, 2026.