Provider Demographics
NPI:1477674315
Name:CHRISTOPHER, JESSIE CATHERINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:CATHERINE
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 HAY ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1612
Mailing Address - Country:US
Mailing Address - Phone:978-465-9125
Mailing Address - Fax:
Practice Address - Street 1:57 HAY ST
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1612
Practice Address - Country:US
Practice Address - Phone:978-465-9125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155208163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0709034Medicaid