Healthcare Provider Details

I. General information

NPI: 1497683205
Provider Name (Legal Business Name): CARE ON CLINICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FOREST GLN
WEST SPRINGFIELD MA
01089-1994
US

IV. Provider business mailing address

900 RIVERDALE ST STE 156
WEST SPRINGFIELD MA
01089-4900
US

V. Phone/Fax

Practice location:
  • Phone: 413-210-0951
  • Fax:
Mailing address:
  • Phone: 413-210-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CARON
Title or Position: SOLE MEMBER
Credential: NP
Phone: 413-210-0951