Jazmyne Berry
Physician Assistant in Worcester, MA. Individual provider (NPI-1).
NPI number1124789482
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1124789482
- Entity type
- Individual (NPI-1)
- Name
- Jazmyne Berry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2022
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031642 | VT | Yes |
| 363A00000X | Physician Assistant | PA101544 | MA |
Practice location
119 Belmont StWorcester, MA 01605-2903
Phone 800-225-8885 · Fax 508-334-1977
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-1977
Other practice locations
55 Lake Ave N
Worcester, MA 01655-0002
Worcester, MA 01655-0002
Phone 800-225-8885 · Fax 508-334-1977
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