Individual
JEAN M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2760
Mailing address
185 PILGRIM RD, BAKER 304, BOSTON, MA 02215-5324
(617) 632-7270
(617) 632-8224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN207009
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
207009
MA
Other
Enumeration date
05/29/2008
Last updated
10/23/2024
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