Provider Demographics
NPI:1447308929
Name:ALPERT, JANE C (FNP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:C
Last Name:ALPERT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:1334 MAIN ROAD
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878
Practice Address - Country:US
Practice Address - Phone:401-625-5552
Practice Address - Fax:401-625-5277
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA210572363LF0000X
RIAPRN00055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA210572OtherNP LICENSE
116401Medicare UPIN