Active NPI
Yolette Jean
- Pediatric Skilled Nursing Facility
- Brockton, MA
National Provider Identifier
1356589154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 256949
- Legal business name
- YOLETTE JEAN
- Practice address
- 41 Palmer St
Brockton, MA 02301-3164 - Phone
- (508) 615-1721
- NPI assigned
- Feb 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yolette P Jean
- Title
- RN
- Phone
- (508) 615-1721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 256949 | MA | Primary |
Addresses
Primary practice location
41 Palmer St
Brockton, MA 02301-3164
Mailing address
41 Palmer St
Brockton, MA 02301-3164
Phone (508) 615-1721
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233532800000",
"number": "1356589154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PALMER ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013164",
"telephone_number": "508-615-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PALMER ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013164",
"telephone_number": "508-615-1721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOLETTE JEAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A",
"authorized_official_last_name": "JEAN",
"authorized_official_first_name": "YOLETTE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "508-615-1721",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "MA",
"license": "256949",
"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 Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.