Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Lynne Sidebottom, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053243659

Jordan Lynne Sidebottom, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Salem, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

19 Bertuccio Ave
Salem, MA 01970-2931
Phone: (617) 763-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2265344 (MA)

Record details

NPI number1053243659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 30, 2026
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026

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