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Organization
COASTAL PSYCHIATRIC SERVICES LLC
Active
Organization
COASTAL PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE ANN OWENS PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(339) 499-8753
Entity
Organization
Contact information
Practice address
32 HAMMOND AVE, COHASSET, MA 02025-1928
(339) 499-8753
(781) 803-3979
Mailing address
32 HAMMOND AVE, COHASSET, MA 02025-1928
(339) 499-8753
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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