Healthcare Provider Details

I. General information

NPI: 1952214108
Provider Name (Legal Business Name): JOCELYN HALLORAN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 SANDY POND RD
GROTON MA
01450-2082
US

IV. Provider business mailing address

PO BOX 480
HARVARD MA
01451-0480
US

V. Phone/Fax

Practice location:
  • Phone: 978-877-1245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN68891
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: