JORGE STUART CARRILLO DNP - FNP
NPI 1104649649
Nurse Practitioner - Family in West Springfield, MA

Active since November 04, 2024
54 NEW BRIDGE ST, WEST SPRINGFIELD, MA 01089(413) 335-9948 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorge Stuart Carrillo Dnp - Fnp NPPES

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

JORGE STUART CARRILLO DNP - FNP (NPI 1104649649) is an individual family provider in West Springfield, Massachusetts, licensed in Massachusetts (RN2334224) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1104649649
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORGE STUART CARRILLOCredential: DNP - FNP
Location Address54 NEW BRIDGE STWest Springfield, MA 01089-4211
Mailing AddressPo Box 234West Springfield, MA 01090-0234 · (413) 335-9948
Sole ProprietorYes
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
NPI 1104649649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2334224
54 NEW BRIDGE ST, West Springfield, MA 01089

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 Jorge Carrillo's NPI number?

The NPI number for Jorge Carrillo is 1104649649. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Jorge Carrillo located?

Jorge Carrillo practices at 54 New Bridge St, West Springfield, MA 01089. The listed phone number is (413) 335-9948.

What is Jorge Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jorge Carrillo was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.