Jacquelyne Arrington
Individual provider Active NPI School Registered Nurse · Roxbury, MA
NPI 1366060980 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1366060980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 124675 (MA)
- Practice address
- 76 Harold St
Roxbury, MA 02119-1625 - Phone
- (617) 335-0477
- NPI assigned
- Jul 9, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124675 | MA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse |
163WS0200X | 124675 | MA | Yes |
Addresses
Primary practice location
76 Harold St
Roxbury, MA 02119-1625
Mailing address
76 Harold St
Roxbury, MA 02119-1625
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All providers in Roxbury, MA · School 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 Jul 9, 2020. 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.