Balukonis, Jennifer Rose

Balukonis, Jennifer Rose is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462-1607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Balukonis, Jennifer Rose can be contacted via phone (617) 243-6144.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462-1607
Phone: (617) 243-6144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 053185-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 259428 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN259428 Massachusetts

Profile Details

NPI number 1144210261
LBN Legal business name Balukonis, Jennifer Rose
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144210261 NPPES
New Hampshire MEDICAID 30347938

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