Individual
JESSICA LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 INDUSTRIAL DR STE 205, MASHPEE, MA 02649-3465
(774) 238-2639
Mailing address
5 INDUSTRIAL DR STE 205, MASHPEE, MA 02649-3465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2378772
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2378772
MA
Other
Enumeration date
07/17/2023
Last updated
02/07/2025
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