Jolene Cicchese, RN

Individual provider Active NPI General Practice Registered Nurse · Buzzards Bay, MA

NPI 1780259986 · NPPES record last updated May 21, 2021

Key facts

NPI
1780259986
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
RN2262466 (MA)
Practice address
25 Main St
Buzzards Bay, MA 02532-3106
Phone
(508) 631-3223
Fax
(508) 759-7880
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2262466MAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Private Home Care Inc Current
since Feb 1, 2022
Accepting new patients

Locations

25 Main St
Buzzards Bay, MA 02532
Phone (508) 631-3223

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WG0000X RN2262466 MA Yes

Addresses

Primary practice location

25 Main St
Buzzards Bay, MA 02532-3106

Mailing address

25 Main St
Buzzards Bay, MA 02532-3106
Phone (508) 631-3223

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL tlcprivatehomecare1@gmail.com Health Information Exchange (HIE)

Other providers in Buzzards Bay, MA

All providers in Buzzards Bay, MA · General Practice Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.