Provider Demographics
NPI:1952591182
Name:NESTEBY, JENNIFER ALEAH (RN, APRN (NP))
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ALEAH
Last Name:NESTEBY
Suffix:
Gender:F
Credentials:RN, APRN (NP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:140 HIGH ST
Mailing Address - Street 2:HIGH ST HEALTH CENTER, ADULT MEDICINE
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199
Mailing Address - Country:US
Mailing Address - Phone:413-794-2511
Mailing Address - Fax:413-794-2216
Practice Address - Street 1:140 HIGH ST
Practice Address - Street 2:HIGH ST HEALTH CENTER, ADULT MEDICINE
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01199
Practice Address - Country:US
Practice Address - Phone:413-794-2511
Practice Address - Fax:413-794-2216
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN267809363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily