Provider Demographics
NPI:1518122266
Name:BOOKMAN, JESSICA (RNCS, NP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:BOOKMAN
Suffix:
Gender:F
Credentials:RNCS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DEARBORN RD
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-8836
Mailing Address - Country:US
Mailing Address - Phone:781-593-1088
Mailing Address - Fax:339-883-2187
Practice Address - Street 1:125 LIBERTY ST
Practice Address - Street 2:STE 2
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3325
Practice Address - Country:US
Practice Address - Phone:978-750-6828
Practice Address - Fax:978-750-6684
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253385364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult