OrganizationActive
Access Care Everywhere, LLC
NPI 1699580647 · Psychiatric/Mental Health Nurse Practitioner · Mattapan, MA
Provider details
- NPI number
- 1699580647
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephenie Jackson-Wilson, Owner(617) 407-7879
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
119 W Selden St
Mattapan, MA 02126-2348
Phone: (617) 407-7879
Approximate (ZIP-level) locationGet directions
Mailing address
119 W Selden St
Mattapan, MA 02126-2348
Registry dates
- Enumerated
- 2025-02-07
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.