Jacquelyn Holmberg, MS, RN, ACNS-BC

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

RN251347 Issued in MA

Practice address

16 Lincoln St
Gloucester, MA 01930-2000

Phone

(617) 791-5501

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1528445723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LINCOLN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302000",
            "telephone_number": "617-791-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LINCOLN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302000",
            "telephone_number": "617-791-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "JACQUELYN",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MA",
            "license": "RN251347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dunton Herlihy, MSW
• Odalys Hernandez
• Susan Forman Hochstedler, RN ,LADC 1
• J Schuyler Hoffman, PSYD
• Kathryn Joan Hollett
• Marion Louise Hopping
• Carolyn Marie Howard, ED.M.
• Margaret Howard
• Amy Katherine Hubbard, MS, LMHC
• Catherine McCord Hunt, IBCLC

• Acute Care Clinical Nurse Specialist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Acute Care Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.