Healthcare Provider Details

I. General information

NPI: 1043272156
Provider Name (Legal Business Name): JILLIEN G LOCHRIDGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308R MERRIMACK ST SUITE 3B
METHUEN MA
01844
US

IV. Provider business mailing address

308R MERRIMACK ST SUITE 3B
METHUEN MA
01844
US

V. Phone/Fax

Practice location:
  • Phone: 978-638-6355
  • Fax:
Mailing address:
  • Phone: 978-638-6355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number200943
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: