Individual
JESSICA BARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
801 MASSACHUSETTS AVE, STE 5A, CROSSTOWN BLDG, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
960 MASSACHUSETTS AVE, FL 2 PROVIDER ENROLLMENT, BOSTON, MA 02118-1920
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2285969
MA
Other
Enumeration date
01/05/2018
Last updated
05/09/2024
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