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

MS. Michelle A Jack, RN

Individual provider Registered Nurse · NPI 1720165715

MS. Michelle A Jack, RN is a Registered Nurse in Mattapan, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1425 Blue Hill Avenue Mattapan Community Health Ctr
Mattapan, MA 02126
Phone: (617) 898-9013
Fax: (617) 296-1421
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 252437 (MA)

Record details

NPI number1720165715
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5 Seiden St, Dorchester, MA 02124

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