Healthcare Provider Details

I. General information

NPI: 1427672815
Provider Name (Legal Business Name): JANA LYNN PURINGTON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 11/27/2023
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MAPLE ST STE 107
SPRINGFIELD MA
01105-1828
US

IV. Provider business mailing address

285 THOMPSON RD
COLRAIN MA
01340-9722
US

V. Phone/Fax

Practice location:
  • Phone: 413-285-8722
  • Fax: 413-285-8642
Mailing address:
  • Phone: 413-768-8448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: