Florence Elizabeth Jacklin, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

258825 Issued in MA

Practice address

5 Coliseum Ave
Ste 307
Nashua, NH 03063-3206

Phone

(781) 706-0594

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ejacklin238157@direct.bmc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD
• Phil Finocchiaro, MD & Associates

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1821470865
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1255790887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "STE 307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "781-706-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "STE 307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "781-706-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKLIN",
        "first_name": "FLORENCE",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "258825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M. Ivas Delaney
• Nicole Ivers, BS
• Ivyrehab New Hampshire, LLC
• Julie Amy Izsak, MED,RD,LD
• J a Herner Chiropractic, PLLC
• Lisa M Jackman, PHARMD
• Jillian Jackson
• Juanita Jackson, MBA
• Jaime Jacobs
• Josephine Jacques

• Adult Health Nurse Practitioner in Nashua, NH
• Providers in Nashua, NH by specialty
• Adult Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.