Provider Demographics
NPI:1114898277
Name:CORREA-SEGARRA, JANE ELIZABETH (BSN,RN)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:CORREA-SEGARRA
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 EDGELL ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2332
Mailing Address - Country:US
Mailing Address - Phone:508-963-4140
Mailing Address - Fax:
Practice Address - Street 1:94 EDGELL ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2332
Practice Address - Country:US
Practice Address - Phone:508-963-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2344689163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health