Jenkins Bautista, Jocelyn Michele

Jenkins Bautista, Jocelyn Michele is an individual health care provider with primary practice located at 1 Blackburn Dr , Gloucester MA 01930-2292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jenkins Bautista, Jocelyn Michele can be contacted via phone (978) 281-1500.

Contact Information

Primary practice address
1 Blackburn Dr Gloucester MA 01930-2292
Phone: (978) 281-1500
Fax: (978) 282-3611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2316993 Massachusetts

Profile Details

NPI number 1386803666
LBN Legal business name Jenkins Bautista, Jocelyn Michele
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jul 1st, 2021 - about 3 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 1386803666 NPPES
Massachusetts MEDICAID RN2316993

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