Individual provider · Type 1 NPI

Michelle A. Jack, RN

Registered Nurse · Mattapan, MA

NPI number 1720165715 Active

Practice location

1425 Blue Hill Avenue, Mattapan Community Health Center
Mattapan, MA 02126

Call (617) 898-9013 Map

Fax (617) 296-1421

Mailing address

5 Seiden St
Dorchester, MA 02124

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	252437 (MA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

4 other providers at this address

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About NPI 1720165715

Michelle A. Jack, RN's National Provider Identifier is 1720165715, issued on Nov 1, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Mattapan, MA. The record was last updated on Jul 8, 2007.