Healthcare Provider Details

I. General information

NPI: 1780538355
Provider Name (Legal Business Name): JODI WEISS RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 WOOD RD
BRAINTREE MA
02184-2508
US

IV. Provider business mailing address

5 GENERAL GREENE AVE APT 3
NATICK MA
01760-2623
US

V. Phone/Fax

Practice location:
  • Phone: 617-648-9800
  • Fax:
Mailing address:
  • Phone: 860-941-2866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9520411
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: