JACQUELINE R BISHOP NP NPI 1073594180

NPI Information

NPI: 1073594180
Provider Name: JACQUELINE R BISHOP, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 PEARL ST
SUITE 2100
BROCKTON, MA
ZIP 02301
Phone: (508) 897-6040
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Jacqueline R Bishop, NP is a family nurse practitioner in Brockton, MA. Jacqueline R Bishop, NP NPI is 1073594180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PEARL ST
SUITE 2100
BROCKTON, MA
ZIP 02301-864
Phone: (508) 897-6040
Fax: (508) 897-6045

The enumeration date for this NPI number is 11/7/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	128471	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P51054	MEDICARE UPIN	MASSACHUSETTS
2	NP3701	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	0376931	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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