MEDICARE: JESSICA ELIZABETH LEVESQUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1366272338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ELIZABETH LEVESQUE

Provider Business Mailing Address
First Line	:	607 PLEASANT ST # 115
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-2570
Country	:	US
Telephone Number	:	401-787-1040
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 PLEASANT ST # 115
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-2570
Country	:	US
Telephone Number	:	508-223-4691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	05/22/2026

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Directions to “ JESSICA ELIZABETH LEVESQUE ” Practice Location

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