Individual provider · Type 1 NPI
Joanne S. Jack, FNP
Family Nurse Practitioner · Cambridge, MA
NPI number
1992516207
Active
Practice location
1493 Cambridge St
Cambridge, MA 02139-1047
Mailing address
110 Cushing St
Cambridge, MA 02138-4533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN2282885 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992516207
Joanne S. Jack, FNP's National Provider Identifier is 1992516207, issued on Jan 16, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cambridge, MA. The record was last updated on Jan 16, 2025.