Javadpoor, Michele

Javadpoor, Michele is an individual health care provider with primary practice located at 819 Worcester St Ste 3 , Springfield MA 01151-1056. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Javadpoor, Michele can be contacted via phone (413) 543-6820.

Contact Information

Primary practice address
819 Worcester St Ste 3 Springfield MA 01151-1056
Phone: (413) 543-6820
Fax: (413) 543-7962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00719500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2300692 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2300692 Massachusetts

Profile Details

NPI number 1124422951
LBN Legal business name Javadpoor, Michele
Credentials DNP, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2014
Last updated Jun 21st, 2017 - about 9 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 1124422951 NPPES
Massachusetts MEDICAID PENDING

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