JOHANNE JEUDY NP NPI 1700186947

NPI Information

NPI: 1700186947
Provider Name: JOHANNE JEUDY, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: EVANS MEDICAL FOUNDATION INC

PECOS Registration: Yes

Address:
732 HARRISON AVENUE
PRESTON, 2ND FLOOR
BOSTON, MA
ZIP 02118
Phone: (617) 638-7470
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Johanne Jeudy, NP is an adult health nurse practitioner in Boston, MA with 15 years of experience. Johanne Jeudy, NP NPI is 1700186947. 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:

732 HARRISON AVENUE
PRESTON, 2ND FLOOR
BOSTON, MA
ZIP 02118
Phone: (617) 638-7470
Fax: (617) 638-7449

The NPI 1700186947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 2/16/2022.

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	363LA2200X	Nurse Practitioner	Adult Health	RN267732	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	Other Provider Identifier Issuer
1	110094697A	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: 11/14/2023

NPI Synchronization or Removal

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