Individual
HEENA NISSARALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, AGNP-C
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 763-3518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2349337
MA
363L00000X
Nurse Practitioner
Primary
AG07250146
MA
Other
Enumeration date
07/31/2025
Last updated
02/04/2026
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