MS. MICHELLE JACK, RN

Registered Nurse

Active Individual
NPI: 1720165715

Practice Address

1425 BLUE HILL AVENUE
MATTAPAN COMMUNITY HEALTH CENTER
Mattapan, MA 02126

Phone: (617) 898-9013

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 252437 (MA)

Frequently Asked Questions

NPI 1720165715 is the National Provider Identifier for MS. MICHELLE JACK, RN, a Registered Nurse provider located in Mattapan, MA. This NPI was enumerated on November 1, 2006.
MS. MICHELLE JACK, RN practices at 1425 BLUE HILL AVENUE, MATTAPAN COMMUNITY HEALTH CENTER, Mattapan, MA 02126.

Quick Facts

NPI
1720165715
Type
Individual
Enumerated
Nov 1, 2006
Last Updated
Jul 8, 2007

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