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Contact Information

JOANNE JACKSON, NP
3300 MAIN ST
2ND FLOOR, SUITE A
SPRINGFIELD, MA01107-1112
 Phone: 413-794-2273
 Fax: 413-794-0198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOANNE JACKSON · (Female)

NPI # 1013099795
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/20/2006
Last updated 01/16/2019 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 141500
  • MA License # RN141500
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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