Provider Demographics
NPI:1356055974
Name:BATEMAN, J NORA (RN)
Entity type:Individual
Prefix:
First Name:J NORA
Middle Name:
Last Name:BATEMAN
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 1:56 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-1812
Mailing Address - Country:US
Mailing Address - Phone:978-660-9065
Mailing Address - Fax:
Practice Address - Street 1:56 WILLOW ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-1812
Practice Address - Country:US
Practice Address - Phone:978-660-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN265691163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health