Individual provider · Type 1 NPI

Tristan Isacksen, NP

Psychiatric/Mental Health Nurse Practitioner · Boston, MA

NPI number 1376419283 Active

Practice location

186 Lincoln St Ste 214
Boston, MA 02111-2403

Call (212) 203-1773 Map

Fax (646) 665-4427

Mailing address

274 Madison Ave Rm 1501
New York, NY 10016-0701

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN10005192 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1376419283

Tristan Isacksen, NP's National Provider Identifier is 1376419283, issued on Oct 16, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Dec 8, 2025.