MEDICARE: MRS. JILLIAN LEIGH OPPENHEIM APRN BC FNP

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	363L00000X	Nurse Practitioner	267909	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679765465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILLIAN LEIGH OPPENHEIM APRN BC FNP

Provider Business Mailing Address
First Line	:	564 LORING AVE
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-4276
Country	:	US
Telephone Number	:	781-631-2849
Fax Number	:	864-719-2725

Provider Business Practice Location Address
First Line	:	564 LORING AVE
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-4276
Country	:	US
Telephone Number	:	781-631-2849
Fax Number	:	864-719-2725

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

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	02/04/2026

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