Raymond, Jackie

Raymond, Jackie is an sole proprietor health care provider with primary practice located at 225 New Lancaster Rd , Leominster MA 01453-4958. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Raymond, Jackie can be contacted via phone (978) 466-3208.

Contact Information

Primary practice address
225 New Lancaster Rd Leominster MA 01453-4958
Phone: (978) 466-3208
Fax: (978) 840-1680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2289192 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2289192 Massachusetts

Profile Details

NPI number 1679904346
LBN Legal business name Raymond, Jackie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2013
Last updated Aug 10th, 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 1679904346 NPPES
Massachusetts MEDICAID 110110032A

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