Healthcare Provider Details

I. General information

NPI: 1225941321
Provider Name (Legal Business Name): JALCY DAMIRON-PICON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

700 ESSEX ST
LAWRENCE MA
01841-4396
US

IV. Provider business mailing address

14 TRUDEL AVE
DRACUT MA
01826-3518
US

V. Phone/Fax

Practice location:
  • Phone: 978-686-0090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2296107
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: