Provider Demographics
NPI:1447047220
Name:MANSFIELD, JENIFER LEE
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:LEE
Last Name:MANSFIELD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1606
Mailing Address - Country:US
Mailing Address - Phone:774-267-9523
Mailing Address - Fax:774-267-9523
Practice Address - Street 1:4 MORSE RD
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:MA
Practice Address - Zip Code:01590-1606
Practice Address - Country:US
Practice Address - Phone:774-267-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant