Individual
JAYA RAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(413) 794-4458
(413) 794-5131
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2328557
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2328557
MA
363LP2300X
Primary Care Nurse Practitioner
RN2328557
MA
Other
Enumeration date
01/07/2019
Last updated
08/29/2022
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