JACQUELINE R SLY (NPI# 1912284316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912284316 |
| Entity Type | Individual |
| Full Name | JACQUELINE R SLY |
| Credential | NP |
| Practice Address |
110 Liberty St Brockton MA 02301 |
| Mailing Address |
110 Liberty St Brockton MA 02301-5521 |
| Practice Telephone | 5088940400 |
| Practice Fax Number | 5088940356 |
| Mailing Telephone | 5088940400 |
| Mailing Fax Number | 5088940356 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN189769 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 LIBERTY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416186 | Aqeel Siddiqui | Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2005-09-06 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| 1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
| 1427603851 | Kristen Laura Barrett | Registered Nurse | 110 Liberty St, Brockton, MA 02301-5674 | 2019-08-02 |
| 1427611722 | Donovan Kelly | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5674 | 2019-04-22 |
| 1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
| 1407353154 | Dean Robert Howell | Social Worker | 110 Liberty St, Brockton, MA 02301-5674 | 2018-04-10 |
| 1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
| 1588182323 | Alicia Reid | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262902 | Nancy Quigley | Clinical Nurse Specialist | 5 Pauline Dr, Natick, MA 01760-3621 | 2014-03-07 |
| 1730622325 | Sweeney Dawley Recovery Center, LLC. | Clinical Nurse Specialist | 639 Granite St, Suite 310, Braintree, MA 02184-5366 | 2016-11-30 |
| 1548713308 | Felicitas Fandreyer | Clinical Nurse Specialist | 1 Harvard Rd, Shirley, MA 01464-2434 | 2016-07-28 |
| 1518348127 | Susan Mcmackin | Clinical Nurse Specialist | 10 Cordage Park Cir, Suite 115, Plymouth, MA 02360-7318 | 2015-06-10 |
| 1477800035 | Adriane Rodgers | Clinical Nurse Specialist | 133 Littleton Rd, Suite 202, Westford, MA 01886-3115 | 2012-08-13 |
| 1164706552 | Barbara J Laforce | Clinical Nurse Specialist | 14 Manning Ave, Leominster, MA 01453-5768 | 2011-10-04 |
| 1023112703 | Elizabeth Bishop Alach | Clinical Nurse Specialist | 50 Oliver St, Suite W1a, North Easton, MA 02356-1446 | 2006-09-12 |
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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.