Organization
COASTAL PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE ANN OWENS PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(339) 499-8753
Entity
Organization
Contact information
Practice address
32 HAMMOND AVE, COHASSET, MA 02025-1928
(339) 499-8753
(781) 803-3979
Mailing address
32 HAMMOND AVE, COHASSET, MA 02025-1928
(339) 499-8753
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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