JENNIFER TRINH PHAN (NPI# 1538443460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538443460 |
| Entity Type | Individual |
| Full Name | JENNIFER TRINH PHAN |
| Credential | ANP-C |
| Practice Address |
266 Main St Ste 4 Medfield MA 02052-2018 |
| Mailing Address |
266 Main St Ste 4 P.o. Box 469 Medfield MA 02052-2018 |
| Practice Telephone | 5083598141 |
| Practice Fax Number | 5083598005 |
| Mailing Telephone | 5083598141 |
| Mailing Fax Number | 5083598005 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2264825 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1609372150 | Jennifer Phan | Nurse Practitioner | 1452 Reed Ave, San Diego, CA 92109-5351 | 2018-04-03 |
| 1114333697 | Jennifer Phan | Pharmacist | 6848 Landing Dr, Grand Prairie, TX 75054-6810 | 2014-07-07 |
| 1861621880 | Jennifer Phan | Otolaryngology | 3113 N Broadway Street, Anderson, IN 46012-1261 | 2009-07-12 |
| 1376003509 | Jennifer Phan | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2019-03-22 |
| 1023502713 | Jennifer Thuy Phan | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072 | 2018-06-18 |
| 1780002055 | Jennifer Phan | Internal Medicine | 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 | 2014-04-02 |
| 1205265956 | Jennifer Phan | Pharmacist | 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 | 2013-11-04 |
| 1972930394 | Jennifer Kim Phan | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407 | 2013-09-30 |
| 1780991067 | Jennifer N Phan | Registered Nurse | 7000 E. Belleview, #301, Greenwood Village, CO 80111 | 2010-09-08 |
| Street Address |
266 MAIN ST STE 4 |
| City | MEDFIELD |
| State | MA |
| Zip Code | 02052-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821552118 | Laura Desrosiers | Behavioral Analyst | 18 Cottage St, Medfield, MA 02052 | 2019-01-30 |
| 1780166967 | Linda G. Kipper | Social Worker | 31 Marlyn Road, Medfield, MA 02052 | 2018-09-04 |
| 1891167185 | Hannah Charren-diehl | Social Worker | 266 Main St Ste 3, Medfield, MA 02052 | 2015-10-26 |
| 1528497377 | Michelle Laura Tristani | Speech-Language Pathologist | 10 Carmen Circle, Medfield, MA 02052 | 2013-11-02 |
| 1366723215 | Marissa Lee Maki | Counselor | 258 Main Street Suite 7, Medfield, MA 02052 | 2011-09-06 |
| 1518152693 | Amy Rose Sager | Dietitian, Registered | 29 Spring St. # 3, Medfield, MA 02052 | 2007-09-11 |
| 1134341670 | Medfield Eye Care | Eyewear Supplier (Equipment, not the service) | 55 North Street, Medfield, MA 02052 | 2007-05-03 |
| 1215006929 | Stephen Joseph Rosenman | Internal Medicine | 5 North Meadow Road, Medfield, MA 02052 | 2006-11-07 |
| 1306824594 | Maura E Shaughnessy | Family Medicine | 50 North Street, Medfield, MA 02052 | 2006-01-06 |
| 1437150158 | Beth S Ralston | Nurse Anesthetist, Certified Registered | 19 Haven Rd, Medfield, MA 02052 | 2005-08-03 |
| Find all providers in zip 02052 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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| 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.