Individual
JENNIFER JACKSON MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
168723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK9228
RAILROAD MEDICARE
MA
Enumeration date
03/26/2007
Last updated
04/13/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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