Provider Demographics
NPI:1013280346
Name:JASINSKI, KRISTIN ANN
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANN
Last Name:JASINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 REGINA DR
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4544
Mailing Address - Country:US
Mailing Address - Phone:978-250-0203
Mailing Address - Fax:
Practice Address - Street 1:9 NORTHGATE RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2122
Practice Address - Country:US
Practice Address - Phone:978-251-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2272075163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse