Gwen-Ellen E Jeffries

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN96155 Issued in MA

Practice address

130 Southampton Rd
Westfield, MA 01085-1370

Phone

(413) 568-6600

Fax

(413) 572-6840

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1083334700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KREYSSIG RD",
            "city": "BROAD BROOK",
            "state": "CT",
            "postal_code": "060169619",
            "telephone_number": "860-983-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SOUTHAMPTON RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851370",
            "telephone_number": "413-568-6600",
            "fax_number": "413-572-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "GWEN-ELLEN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN96155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Janes, LICSW
• Daniel Jaracz, PHARMD
• Peter William Jasinski, PHARMD
• Jacqueline Francis Jeffers
• Jeffrey Trant PHD Psychotherapy PLLC
• Erica Jessen, MD
• Tida Jiana
• Jennifer Johndrow, DPT
• Erin Elizabeth Johnson, RN
• Evelyn J Johnson, RN CFNP

• Licensed Practical Nurse in Westfield, MA
• Providers in Westfield, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.