Healthcare Provider Details

I. General information

NPI: 1861968380
Provider Name (Legal Business Name): JILLBETH VERONICA SWEENEY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 ARLINGTON ST
ACTON MA
01720-2410
US

IV. Provider business mailing address

215 ARLINGTON ST
ACTON MA
01720-2410
US

V. Phone/Fax

Practice location:
  • Phone: 978-399-4001
  • Fax: 978-924-6669
Mailing address:
  • Phone: 978-399-4001
  • Fax: 978-924-6669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2318610
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: