MRS. JENNIFER MARIE ALLI (NPI# 1255764890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255764890 |
Entity Type | Individual |
Full Name | MRS. JENNIFER MARIE ALLI |
Other Name | MS. JENNIFER MARIE BROUILLETTE |
Credential | DNP FNP-BC |
Practice Address |
1215 Wilbraham Road Springfield MA 01119 |
Practice Telephone | 4137821211 |
Practice Fax Number | 4137962255 |
Mailing Telephone | 4137821211 |
Mailing Fax Number | 4137962255 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2020-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN271259 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1215 WILBRAHAM ROAD |
City | SPRINGFIELD |
State | MA |
Zip Code | 01119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
1801289814 | Erica Morin | Student in an Organized Health Care Education/Training Program | 45 Jonquil Drive, Springfield, MA 01119 | 2015-03-16 |
1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
1356378970 | Michael A Vallee | Specialist/Technologist | Western New England College, 1215 Wilbraham Rd., Springfield, MA 01119 | 2006-06-27 |
1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
1598242182 | Sarah Ann Lak | Social Worker | 3350 Main Street, Springfied, MA 01119 | 2018-07-26 |
1881988475 | Tanya O'neil | Occupational Therapist | 68 Wollaston St, Springfield, MA 01119 | 2011-06-01 |
1740515477 | Amy C Baronas | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01119 | 2009-10-14 |
Find all providers in zip 01119 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01119 |
Please comment or provide details below to improve the information on MRS. JENNIFER MARIE ALLI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.