Individual provider Active NPI

Johanna Cynthia St Sauveur Louis Jeune, RN

  • Registered Nurse
  • Brockton, MA
National Provider Identifier
1104739358
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN10051003 Issued in MA
Practice address
64 Provost St Apt 1
Brockton, MA 02302-2880
Phone
(774) 257-3671
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN10051003 MA Primary

Addresses

Primary practice location

64 Provost St Apt 1
Brockton, MA 02302-2880

Mailing address

64 Provost St Apt 1
Brockton, MA 02302-2880
Phone (774) 257-3671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1104739358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PROVOST ST APT 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022880",
            "telephone_number": "774-257-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PROVOST ST APT 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022880",
            "telephone_number": "774-257-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST SAUVEUR LOUIS JEUNE",
        "first_name": "JOHANNA",
        "middle_name": "CYNTHIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN10051003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.