Individual
KATIE FITZGERALD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9191
Mailing address
1200 CENTRE ST, BOSTON, MA 02131-1000
(781) 696-5423
(617) 632-6180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
262752
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VX3073
MEDICARE PTAN
MA
Enumeration date
12/14/2006
Last updated
08/15/2022
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