Provider Demographics
NPI:1851456370
Name:KNAPCZYK, JASON (APRN, BC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:KNAPCZYK
Suffix:
Gender:M
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2542
Mailing Address - Country:US
Mailing Address - Phone:413-527-3725
Mailing Address - Fax:
Practice Address - Street 1:40 BRIGHTSIDE DR
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-4000
Practice Address - Country:US
Practice Address - Phone:413-493-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232563363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health