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Organization
JAMII WELLNESS AND BEHAVIORAL MEDICINE, LLC
Active
Organization
JAMII WELLNESS AND BEHAVIORAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH K. YENTZ DNP, PMHNP-BC, RN (NURSE PRACTITIONER)
(978) 821-7288
Entity
Organization
Contact information
Practice address
360 W BOYLSTON ST RM 207, WEST BOYLSTON, MA 01583-2384
(978) 821-7288
Mailing address
360 W BOYLSTON ST RM 207, WEST BOYLSTON, MA 01583-2384
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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