Jenna Gagnon I
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pepperell, MA
NPI 1194196634 · NPPES record last updated Oct 9, 2015
Key facts
- NPI
- 1194196634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 32A Elm St
Pepperell, MA 01463-1603 - Phone
- (978) 502-9969
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
32A Elm St
Pepperell, MA 01463-1603
Mailing address
32A Elm St
Pepperell, MA 01463-1603
Phone (978) 502-9969
Other providers in Pepperell, MA
- Kaitlin E Fiore
- Foundation Medical Partners Inc.
- Foundation Medical Partners Inc.
- Foundation Medical Partners Inc.
- Christine Gagnon
- Tania F. Griswold
- Grounding Roots Counseling
- Paige Bridget Haley
- Keith W. Hallbourg
- Holistic Balance Acupuncture
All providers in Pepperell, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.