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ANNJALICA FERNANDES
NPI 1326633801
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since March 05, 2021
25 KERI ANNE DR, BROCKTON, MA 02302(774) 240-1167 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Annjalica Fernandes NPPES

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

ANNJALICA FERNANDES (NPI 1326633801) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1326633801
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNJALICA FERNANDES
Location Address25 KERI ANNE DRBrockton, MA 02302-4179
Mailing Address25 Keri Anne DrBrockton, MA 02302-4179 · (774) 240-1167
Phone(774) 240-1167
Sole ProprietorYes
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1326633801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
25 KERI ANNE DR, Brockton, MA 02302
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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 Annjalica Fernandes's NPI number?

The NPI number for Annjalica Fernandes is 1326633801. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Annjalica Fernandes located?

Annjalica Fernandes practices at 25 Keri Anne Dr, Brockton, MA 02302. The listed phone number is (774) 240-1167.

What is Annjalica Fernandes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Annjalica Fernandes was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.