Healthcare Provider Details

I. General information

NPI: 1407724073
Provider Name (Legal Business Name): YESSICA M ARIAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CHESTNUT ST UNIT 1
FOXBORO MA
02035-1407
US

IV. Provider business mailing address

101D2 CHESTNUT ST UNIT 1
FOXBORO MA
02035-1478
US

V. Phone/Fax

Practice location:
  • Phone: 857-719-1671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2361302
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: