Jessica Scally
Individual provider Active NPI Registered Nurse · Georgetown, MA
NPI 1215517545 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1215517545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- LN58433 (MA)
- Practice address
- 119A E Main St
Georgetown, MA 01833-2105 - Phone
- (978) 420-5883
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN58433 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | LN58433 | MA | Yes |
Addresses
Primary practice location
119A E Main St
Georgetown, MA 01833-2105
Mailing address
119A E Main St
Georgetown, MA 01833-2105
Phone (978) 420-5883
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- Benjamin M Ryan
- Gracen Scott
- Tova Kramer Searleman
- Francis Seme
- Leo M Shapiro
- Maureen Sherry-Bianco
All providers in Georgetown, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. 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.