Jacoby, Jeanne Marie

Jacoby, Jeanne Marie is an individual health care provider with primary practice located at 41 Mall Rd Lahey Hospital & Medical Center, Burlington MA 01805-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacoby, Jeanne Marie can be contacted via phone (781) 744-7000.

Contact Information

Primary practice address
41 Mall Rd Lahey Hospital & Medical Center Burlington MA 01805-0001
Phone: (781) 744-7000
Fax: (781) 744-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 055219-23-03 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN260920 Massachusetts

Profile Details

NPI number 1699855106
LBN Legal business name Jacoby, Jeanne Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699855106 NPPES
Massachusetts MEDICAID 110084016A

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