Healthcare Provider Details

I. General information

NPI: 1851244412
Provider Name (Legal Business Name): GINELLE LUMSDEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 JOHN MAHAR HWY
BRAINTREE MA
02184-6562
US

IV. Provider business mailing address

501 JOHN MAHAR HWY
BRAINTREE MA
02184-6562
US

V. Phone/Fax

Practice location:
  • Phone: 781-334-8843
  • Fax:
Mailing address:
  • Phone: 781-334-8843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2311106
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN10006547
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2311106
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: