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NPI Code Detail

MEDICARE: JAZMINE KENDRICK

MEDICARE: JAZMINE KENDRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9453MA

General Provider Information

NPI Number : 1043943400
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMINE KENDRICK
Provider Business Mailing Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number : 978-774-8715
Provider Business Practice Location Address
First Line : 99 CONIFER HILL DR
Second Line :
City : DANVERS
State : MA
Zip : 01923-1193
Country : US
Telephone Number : 978-774-2555
Fax Number : 978-774-8715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 01/15/2026

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1144414657 — PAULINE R MATHEWSON PA-C
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Directions to “ JAZMINE KENDRICK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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