Jennifer L Prouty, CNS
Clinical Nurse Specialist, Psych/Mental Health, Adult in Mattapoisett, MA. Individual provider (NPI-1).
NPI number1508009028
StatusActive
Last updated in NPPESApr 14, 2009
Details
- NPI
- 1508009028
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Prouty
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2009
- Last updated
- Apr 14, 2009
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 |
|---|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | 127636 | MA | Yes |
Practice location
74 County RdPost Office Box 1006
Mattapoisett, MA 02739-1650
Phone 508-758-6898 · Fax 508-758-6397
Mailing address
74 County RdPost Office Box 1006
Mattapoisett, MA 02739-1650
Phone 508-758-6898 · Fax 508-758-6397
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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.
Other Adult Psychiatric/Mental Health Clinical Nurse Specialist providers in Mattapoisett, MA
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