Provider Demographics
NPI:1073793469
Name:NIGRO, JEAN M
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:M
Last Name:NIGRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GREAT RD
Mailing Address - Street 2:C-10
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4746
Mailing Address - Country:US
Mailing Address - Phone:978-263-5706
Mailing Address - Fax:
Practice Address - Street 1:301 GREAT RD
Practice Address - Street 2:C-10
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4746
Practice Address - Country:US
Practice Address - Phone:978-263-5706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist