| Jessica J Tang, FNP-BC, IBCLC | |
|
112 Warren St, Newton, MA 02459-2065 | |
| (800) 998-7042 | |
| (818) 724-7704 |
| Full Name | Jessica J Tang |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Lactation Consultant |
| Location | 112 Warren St, Newton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104553395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | L-314297 (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 10000143 (Oregon) | Secondary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191220002077 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica J Tang, FNP-BC, IBCLC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Jessica J Tang, FNP-BC, IBCLC 112 Warren St, Newton, MA 02459-2065 Ph: (800) 998-7042 |
Kelcey Brodeur-bowlan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
Ms. Sheila Frances Norton, CNM, ANP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-962-6096 | |
Sarah Mcdonnell, DNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Needham St, Newton, MA 02464 Phone: 617-830-1644 | |
Avery Mae Richard, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Needham St Ste 430, Newton, MA 02464 Phone: 617-830-1644 | |
Brandi Leigh Britnell, Registered Nurse Medicare: Medicare Enrolled Practice Location: 233 Needham St Ste 300, Newton, MA 02464 Phone: 617-915-0117 | |
Magen Bissell, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St Ste 5635th, Newton, MA 02462 Phone: 617-243-6744 |