Jacqueline Mambo, - Licensed Practical Nurse in Andover, MA

Jacqueline Mambo, is a Licensed Practical Nurse based in Andover, Massachusetts. Jacqueline Mambo is licensed to practice in Massachusetts (license number LN92577) and her current practice location is 5 Iceland Rd, Andover, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 652-1689.

NPI number for Jacqueline Mambo is 1265806988 and her current mailing address is 5 Iceland Rd, Andover, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265806988.

Contact Information

Jacqueline Mambo,
5 Iceland Rd,
Andover, MA 01810-2969
(617) 652-1689
Not Available



Provider's Profile

Full NameJacqueline Mambo
GenderFemale
SpecialityLicensed Practical Nurse
Location5 Iceland Rd, Andover, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265806988
  • Provider Enumeration Date: 11/18/2015
  • Last Update Date: 11/18/2015

Medical Identifiers

Medical identifiers for Jacqueline Mambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265806988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LN92577 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Mambo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Mambo,
5 Iceland Rd,
Andover, MA 01810-2969

Ph: (617) 652-1689
Jacqueline Mambo,
5 Iceland Rd,
Andover, MA 01810-2969

Ph: (617) 652-1689

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Andover, MA

Erin Mary Nadeau, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 251 S Main St, Andover, MA 01810
Phone: 978-590-0896    
Amanda Gervais, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 464 River Rd, Andover, MA 01810
Phone: 978-569-3164    
Stephen Potvin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 63 North St, Andover, MA 01810
Phone: 978-806-6668    Fax: 978-307-5499

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