MS. Michelle A Jack, RN
NPI #1720165715 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1720165715
- Entity Type
- Individual
- Name
- MS. Michelle A Jack, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1425 BLUE HILL AVENUE
- Address 2
- MATTAPAN COMMUNITY HEALTH CENTER
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126
- Phone
- (617) 898-9013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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