Organization
PINNACLE HEALTHCARE SERVICES LLC
Active
Other names
Pinnacle Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVRIL JOAN JACKSON-BLACK NP (CEO)
(781) 510-9793
Entity
Organization
Contact information
Practice address
140 WOOD RD, BRAINTREE, MA 02184
(781) 884-1539
(781) 228-6185
Mailing address
140 WOOD RD STE 104, BRAINTREE, MA 02184-2512
(781) 884-1539
(781) 228-6185
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
184437
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
184437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S100104802
MEDICARE PTAN
MA
Enumeration date
09/05/2013
Last updated
09/17/2019
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