Individual provider · Type 1 NPI
Line Rose Isaac
Psychiatric/Mental Health Nurse Practitioner · Brockton, MA
NPI number
1609734573
Active
Practice location
317 Forest Ave
Brockton, MA 02301-5055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2263597 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609734573
Line Rose Isaac's National Provider Identifier is 1609734573, issued on Jan 12, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brockton, MA. The record was last updated on Jan 12, 2026.