Individual
JACQUELINE KENNEDY-HARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 FRANCIS ST, BOSTON, MA 02115-6105
(617) 732-5179
Mailing address
155 STRATFORD ST, WEST ROXBURY, BOSTON, MA 02132-2137
(617) 477-4176
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
179735
MA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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