KISHA JEAN
NPI 1043710346
Licensed Practical Nurse in Dorchester, MA

Active since February 14, 2018
415 COLUMBIA RD, DORCHESTER, MA 02125(617) 218-7800 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kisha Jean NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISHA JEAN (NPI 1043710346) is an individual licensed practical nurse in Dorchester, Massachusetts, licensed in Massachusetts (LN89021) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1043710346
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKISHA JEAN
Location Address415 COLUMBIA RDDorchester, MA 02125-2424
Mailing Address415 Columbia RdDorchester, MA 02125-2424
Sole ProprietorYes
Enumeration DateFebruary 14, 2018
NPI 1043710346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MA · LN89021
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
415 COLUMBIA RD, Dorchester, MA 02125

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
415 COLUMBIA RD
DORCHESTER, MA 02125
Registered Nurse (Case Management)
415 COLUMBIA RD
DORCHESTER, MA 02125
Podiatrist
415 COLUMBIA RD, UPHAMS CORNER HEALTH CENTER
DORCHESTER, MA 02125
Registered Nurse (Case Management)
415 COLUMBIA RD
DORCHESTER, MA 02125
Pharmacist
415 COLUMBIA RD
DORCHESTER, MA 02125
Nurse Practitioner (Family)
415 COLUMBIA RD
BOSTON, MA 02125
Physical Therapist
415 COLUMBIA RD
DORCHESTER, MA 02125
Registered Nurse (Case Management)
415 COLUMBIA RD
DORCHESTER, MA 02125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kisha Jean's NPI number?

The NPI number for Kisha Jean is 1043710346. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Kisha Jean located?

Kisha Jean practices at 415 Columbia Rd, Dorchester, MA 02125. The listed phone number is (617) 218-7800.

What is Kisha Jean's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kisha Jean was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.