Healthcare Provider Details

I. General information

NPI: 1801654371
Provider Name (Legal Business Name): JODY BETH ROSSI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2343 PURCHASE ST
NEW BEDFORD MA
02746-1555
US

IV. Provider business mailing address

21 DINAH PATH
PLYMOUTH MA
02360-2658
US

V. Phone/Fax

Practice location:
  • Phone: 781-436-3352
  • Fax: 774-203-4552
Mailing address:
  • Phone: 774-203-4330
  • Fax: 774-203-4552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number211293
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: