Individual
JENNIFER THIM OUNG MATHURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PEARL ST # 1600A, BROCKTON, MA 02301-2864
(617) 924-6484
Mailing address
1 PEARL ST # 1600A, BROCKTON, MA 02301-2864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN2318611
MA
363LF0000X
Family Nurse Practitioner
RN2318611
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2318611
MA
Other
Enumeration date
03/05/2020
Last updated
05/05/2026
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