Individual provider · Type 1 NPI
Jason Macbeth Pendergast
Case Management Registered Nurse · Lawrence, MA
NPI number
1649883596
Active
Practice location
439 S Union St Unit 403
Lawrence, MA 01843-2837
Fax (617) 426-1311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | RN2290756 (MA) |
Case Management Registered Nurse: Definition to come...
About NPI 1649883596
Jason Macbeth Pendergast's National Provider Identifier is 1649883596, issued on Aug 28, 2020. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Lawrence, MA. The record was last updated on Aug 28, 2020.