Individual provider · Type 1 NPI

Stacey Jacklyn Levesque

Student in an Organized Health Care Education/Training Program · Beverly, MA

NPI number 1619899606 Active

Practice location

376 Hale St
Beverly, MA 01915-2096

Call (781) 382-8719 Map

Mailing address

69 Hancock St
Reading, MA 01867-2321

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619899606

Stacey Jacklyn Levesque's National Provider Identifier is 1619899606, issued on Jul 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beverly, MA. The record was last updated on Jul 29, 2026.