MEDICARE: KISSINGER JEAN-POIX REGISTER NURSE

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	163WM0705X	Medical-Surgical Registered Nurse	RN2365783	MA

General Provider Information

NPI Number	:	1427906510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KISSINGER JEAN-POIX REGISTER NURSE

Provider Business Mailing Address
First Line	:	34 CALUMET RD
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-6005
Country	:	US
Telephone Number	:	603-505-9172
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 CALUMET RD
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-6005
Country	:	US
Telephone Number	:	603-505-9172
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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