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NPI Code Detail

MEDICARE: JESSICA M JIMISON FNP-C

MEDICARE: JESSICA M JIMISON FNP-C
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
1363LF0000XFamily Nurse Practitioner28756MT
2363LF0000XFamily Nurse PractitionerRN251611MA

General Provider Information

NPI Number : 1518051473
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA M JIMISON FNP-C
Provider Business Mailing Address
First Line : 17 RESEARCH DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-2788
Country : US
Telephone Number : 413-549-8400
Fax Number : 413-549-8409
Provider Business Practice Location Address
First Line : 17 RESEARCH DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-2788
Country : US
Telephone Number : 413-549-8400
Fax Number : 413-549-8409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 01/25/2018

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Directions to “ JESSICA M JIMISON FNP-C” Practice Location

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