JACQUELINE EAGAN


Address: 102 Hampshire St, Apt 3, Cambridge, MA 02139-1541
Phone: 7817241756

JACQUELINE EAGAN (NPI# 1780127191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780127191
Entity Type Individual
Full Name JACQUELINE EAGAN
Credential NP
Practice Address 102 Hampshire St
Apt 3
Cambridge
MA 02139-1541
Practice Telephone 7817241756
Mailing Telephone 7817241756
Enumeration Date 2016-12-02
Last Update Date 2016-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN2299397 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 102 HAMPSHIRE ST
APT 3
City CAMBRIDGE
State MA
Zip Code 02139-1541

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1538647151 Ari Pehkonen Social Worker Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 2018-08-06
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669920179 Tory Leif Larsen Nurse Practitioner 872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 2016-09-13
1477816775 Eric Charles Snyder Nurse Practitioner 1341 Clark St, Cambridge, OH 43725-9614 2012-06-21
1326106121 Stephen C Andrews Nurse Practitioner 300 Byrn St, Cambridge, MD 21613-1908 2006-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386244770 Paul Thomas Bruemmer Nurse Practitioner 23 Captain Curtis Way, Orleans, MA 02653-2601 2020-10-27
1962001693 Joseph Prendergast Nurse Practitioner 5 Jasmine Rd, Oxford, MA 01540-3304 2020-10-23
1669071601 Katherine Parrott Nurse Practitioner 95 Prince St Apt 8, Boston, MA 02113-1738 2020-10-21
1154928687 Mary A Hodgerney Nurse Practitioner 3 Johnny Cake Rd, Centerville, MA 02632-2446 2020-10-07
1083221659 Alexis Casimir Nurse Practitioner 495 Varnum Ave, Lowell, MA 01854-2123 2020-09-28
1760009476 Rohit Prakash Shah Nurse Practitioner 1884 River St, Hyde Park, MA 02136-1419 2020-06-29
1790307825 Erin Anne Hennigan Nurse Practitioner 54 Payson St, Attleboro, MA 02703-1612 2020-05-12
1639712060 Elizabeth Gina Hayden Nurse Practitioner 330 Brookline Ave # Baker304, Boston, MA 02215-5400 2019-10-17
1477107910 Deanna Louise Benjamin Nurse Practitioner Harvard Rd, Shirley, MA 01464 2019-08-01
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Competitor

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City CAMBRIDGE
Zip Code 02139

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Dataset Information

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.

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