MS. DENISE LUCILLE JEZEWSKI (NPI# 1457607285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457607285 |
| Entity Type | Individual |
| Full Name | MS. DENISE LUCILLE JEZEWSKI |
| Credential | RN ACNS |
| Practice Address |
45 Pearl St Brockton MA 02301-2858 |
| Practice Telephone | 5085864688 |
| Practice Fax Number | 5085843279 |
| Mailing Telephone | 5085864688 |
| Mailing Fax Number | 5085843279 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN173824 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 PEARL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689637944 | Uhun Ro Lee | Obstetrics & Gynecology | 45 Pearl St, Brockton, MA 02301-2858 | 2006-04-08 |
| 1730540394 | Uhun Ro Lee M.d P.c | Obstetrics & Gynecology | 45 Pearl St, Brockton, MA 02301-2858 | 2016-03-10 |
| 1366796278 | Healing Hearts Hollistically | Clinic/Center | 45 Pearl St, Brockton, MA 02301-2858 | 2012-10-30 |
| 1760686612 | Brown Chiropractic Center, PC | Chiropractor | 45 Pearl St, Brockton, MA 02301-2858 | 2007-06-13 |
| 1053354928 | Richard L Brown | Chiropractor | 45 Pearl St, Brockton, MA 02301-2858 | 2006-06-14 |
| 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 | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326286873 | Rediger Psychiatric Services LLC | Clinical Nurse Specialist | 235 N Pearl St, Brockton, MA 02301-1794 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295286706 | James Ennis | Clinical Nurse Specialist | 900 Cummings Center, Suite 107w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2016-10-19 |
| 1962423996 | Bernard Szymanski | Clinical Nurse Specialist | 108 Grove St Fl 2, Worcester, MA 01605-2651 | 2006-07-23 |
| 1720008048 | Linda Lepoer | Clinical Nurse Specialist | 130 Elm St, Worcester, MA 01609-1903 | 2006-07-20 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1578048757 | Alexandra Penzias | Clinical Nurse Specialist | 30 Locust St, Northampton, MA 01060-2052 | 2018-10-03 |
| 1871094359 | Ann Marie Grillo Darcy | Clinical Nurse Specialist | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-02-21 |
| 1598214603 | Ashley Andrew Lowery | Clinical Nurse Specialist | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-09-30 |
| 1568825586 | Kristen M Hagstrom | Clinical Nurse Specialist | 33 Bartlett Street, Suite 504, Lowell, MA 01852 | 2016-03-29 |
| 1437537701 | Catherine Benacchio | Clinical Nurse Specialist | 55 Fruit St, Ellison 1005, Boston, MA 02114-2621 | 2015-05-07 |
| 1740677319 | Shannon April Mahoney | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2015-04-22 |
| Find all providers with the same taxonomy | ||||
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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.