MS. LISA R JENIKE NP NPI 1326475633

NPI Information

  • NPI: 1326475633
  • Provider Name: MS. LISA R JENIKE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 WASON AVENUE
    SPRINGFIELD, MA
    ZIP 01107
  • Phone: (413) 794-5437

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NPI Details

MS. Lisa R Jenike, NP is a family nurse practitioner in Springfield, MA with 12 years of experience. MS. Lisa R Jenike, NP NPI is 1326475633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

50 WASON AVENUE
SPRINGFIELD, MA
ZIP 01107-274
Phone: (413) 794-5437
Fax: (413) 794-4018

The NPI 1326475633 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 10/1/2013 and was last updated on 1/4/2019.

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
1363LF0000XNurse PractitionerFamilyRN260828MASSACHUSETTSYes

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: 3/30/2025

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