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

Mrs. Manoucheka Desormes-Ignace

Individual provider Family Nurse Practitioner · NPI 1962350645

Mrs. Manoucheka Desormes-Ignace is a Nurse Practitioner in Southborough, Massachusetts. Qualified in 2025, 1 year ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2026

Practice location Address checks out

24 Newton St
Southborough, MA 01772-1215
Phone: (508) 460-3250
Fax: (508) 453-8152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN252988 (MA)

Record details

NPI number1962350645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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