IndividualActive
Michelle Jack, RN
NPI 1720165715 · Registered Nurse · Mattapan, MA
Michelle Jack, RN is a Registered Nurse provider in Mattapan, MA (NPI 1720165715).
Provider details
- NPI number
- 1720165715
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 252437 (MA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1425 Blue Hill Avenue
Mattapan Community Health Center
Mattapan, MA 02126
Phone: (617) 898-9013
Fax: (617) 296-1421
Street-level locationGet directions
Mailing address
5 Seiden St
Dorchester, MA 02124
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michelle Jack's NPI number?
- Michelle Jack's National Provider Identifier (NPI) is 1720165715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Jack's specialty?
- Michelle Jack is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Michelle Jack located?
- Michelle Jack's practice location on file with NPPES is 1425 Blue Hill Avenue, Mattapan, MA 02126.
- What is Michelle Jack's phone number?
- The practice phone number listed in the NPPES registry for Michelle Jack is (617) 898-9013.
- Is Michelle Jack's NPI active?
- Yes — Michelle Jack's NPI (1720165715) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.