Individual
MRS. REBECCA BOUSQUET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
95 N MAIN ST, NORTH GRAFTON, MA 01536-1501
(617) 359-7432
Mailing address
95 N MAIN ST, NORTH GRAFTON, MA 01536-1501
(617) 359-7432
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2294457
MA
363L00000X
Nurse Practitioner
Primary
RN2294457
MA
Other
Enumeration date
07/23/2019
Last updated
05/11/2021
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