JOELLE FERN MAMON NP NPI 1952081929

NPI Information

  • NPI: 1952081929
  • Provider Name: JOELLE FERN MAMON, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 830 HARRISON AVE FL 3
    MOAKLEY BUILDING, HEMATOLOGY & ONCOLOGY
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-6428

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NPI Details

Joelle Fern Mamon, NP is a gerontology nurse practitioner in Boston, MA. Joelle Fern Mamon, NP NPI is 1952081929. 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:

830 HARRISON AVE FL 3
MOAKLEY BUILDING, HEMATOLOGY & ONCOLOGY
BOSTON, MA
ZIP 02118-905
Phone: (617) 638-6428

The NPI 1952081929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 8/30/2023.

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
1363L00000XNurse PractitionerRN2308737MASSACHUSETTSNo
2363LG0600XNurse PractitionerGerontologyRN2308737MASSACHUSETTSYes

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: 11/21/2025

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