MS. JESSICA LYN JOAQUIN (NPI# 1649554049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649554049 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LYN JOAQUIN |
| Credential | PNP |
| Practice Address |
72 Highland Ave Salem MA 01970-2738 |
| Practice Telephone | 9787453050 |
| Mailing Telephone | 9787453050 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2012-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2258813 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 042741073 | 05 |
| Street Address |
72 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813062 | Edward Zalitis | Pediatrics | 72 Highland Ave, Salem, MA 01970-2738 | 2005-10-05 |
| 1952682676 | Katharine Chamberlin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-09-08 |
| 1619206356 | Samantha Gunawardene | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2009-12-09 |
| 1912113747 | Omaima Ataya Maaliki | Pediatrics | 72 Highland Ave, Salem, MA 01970-2738 | 2007-05-16 |
| 1073605127 | Jean L Sheeley | Pediatrics | 72 Highland Ave, Salem, MA 01970-2738 | 2006-09-28 |
| 1447361720 | Maryann Mcqueston | Nurse Practitioner | 72 Highland Ave, Pediatric Associates of Greater Salem Inc, Salem, MA 01970-2738 | 2006-08-31 |
| 1497717763 | Jocelyn Sicat | Pediatrics | 72 Highland Ave, Salem, MA 01970-2738 | 2006-04-03 |
| 1558333120 | Mazda Jalali | Pediatrics | 72 Highland Ave, Pediatric Associates of Greater Salem, Salem, MA 01970-2738 | 2006-02-07 |
| 1598737520 | James T Higgins | Pediatrics | 72 Highland Ave, Pediatric Associates of Greater Salem, Salem, MA 01970-2738 | 2006-02-03 |
| 1801868781 | Clovene P Campbell | Pediatrics | 72 Highland Ave, Pediatric Associates of Greater Salem, Salem, MA 01970-2738 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
| 1114930583 | Ingrid Scott | Nurse Practitioner | 11 Forrester St, Salem, MA 01970-4001 | 2006-08-15 |
| 1376539783 | Joseph Lee Easley | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2005-09-21 |
| 1225490816 | Melissa J Kohnen | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-03-23 |
| 1982077251 | Courtney Joy Kennison | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301-1793 | 2015-11-08 |
| 1093123382 | Elizabeth Cullinan | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2014-07-30 |
| 1790196244 | Lori Landreth | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2014-05-17 |
| 1952682676 | Katharine Chamberlin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-09-08 |
| 1619206356 | Samantha Gunawardene | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2009-12-09 |
| 1063544930 | Katrina Ellen Davis | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301 | 2007-03-09 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on MS. JESSICA LYN JOAQUIN.
| 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.