MEDICARE: JILL BABCOCK NP

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	363LA2200X	Adult Health Nurse Practitioner	215368	MA

General Provider Information

NPI Number	:	1982757548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL BABCOCK NP

Provider Business Mailing Address
First Line	:	268 TRAPELO RD
Second Line	:
City	:	BELMONT
State	:	MA
Zip	:	02478-1849
Country	:	US
Telephone Number	:	617-484-0235
Fax Number	:

Provider Business Practice Location Address
First Line	:	268 TRAPELO RD
Second Line	:
City	:	BELMONT
State	:	MA
Zip	:	02478-1849
Country	:	US
Telephone Number	:	617-484-0235
Fax Number	:

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	02/24/2017

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