Provider Demographics
NPI:1619540127
Name:FINNIGAN, JACKLYN MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JACKLYN
Middle Name:MARIE
Last Name:FINNIGAN
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 1:143 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-2003
Mailing Address - Country:US
Mailing Address - Phone:781-626-2769
Mailing Address - Fax:
Practice Address - Street 1:143 SPRING ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-2003
Practice Address - Country:US
Practice Address - Phone:781-626-2769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2286334163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics