Individual
JOSIE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2350101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11016038A
—
MA
05
—
3139496
—
NH
Enumeration date
12/20/2022
Last updated
06/09/2023
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