Kavanagh, Jillian Lucey

Kavanagh, Jillian Lucey is an individual health care provider with primary practice located at 4 Centennial Dr Ste 204 , Peabody MA 01960-7930. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kavanagh, Jillian Lucey can be contacted via phone (978) 977-0351.

Contact Information

Primary practice address
4 Centennial Dr Ste 204 Peabody MA 01960-7930
Phone: (978) 977-0351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2264536 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2264536 Massachusetts

Profile Details

NPI number 1699246199
LBN Legal business name Kavanagh, Jillian Lucey
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2018
Last updated Dec 9th, 2018 - about 8 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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