Jennifer Stanton, NP
Individual provider Active NPI Nurse Practitioner · Devens, MA
NPI 1942601752 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1942601752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN276676 (MA)
- Practice address
- 38 Jackson Rd
Devens, MA 01434-4020 - Phone
- (978) 588-6035
- Fax
- (978) 588-6628
- NPI assigned
- Sep 11, 2014
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN276676 | MA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN276676 | MA | Yes |
Addresses
Primary practice location
38 Jackson Rd
Devens, MA 01434-4020
Mailing address
38 Jackson Rd
Devens, MA 01434-4020
Phone (978) 588-6035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN276676 | Other | MA | LICENSE |
Other providers in Devens, MA
- Luis Sanchez
- Agnieszka Serafin
- Seven Hills Aspire, Inc.
- Sevenhills Clinical Associates
- Milcah Nambasa Ssebbowa
- Mercedes Ivette Tejada
- Paige Voehringer
- Sarah Walker
- Lisa M Ward
- Khayra Aakilah Webb
All providers in Devens, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. 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.