Johanna Cynthia St Sauveur Louis Jeune, RN
Registered Nurse in Brockton, MA. Individual provider (NPI-1).
NPI number1104739358
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1104739358
- Entity type
- Individual (NPI-1)
- Name
- Johanna Cynthia St Sauveur Louis Jeune
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2026
- Certification date
- Sep 27, 2026
- Last updated
- Sep 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN10051003 | MA | Yes |
Practice location
64 Provost St Apt 1Brockton, MA 02302-2880
Phone 774-257-3671
Mailing address
64 Provost St Apt 1Brockton, MA 02302-2880
Phone 774-257-3671
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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