Individual
MS. JENNA LEE WESSELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 HOPE AVE STE 500, WALTHAM, MA 02453-2761
(781) 647-6700
(781) 647-6752
Mailing address
5 EASTMAN RD APT 2, SOMERVILLE, MA 02143-1305
(319) 433-5769
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN22914439
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F11180808
MA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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