Individual
MRS. JESSICA ANN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3550
(774) 442-6715
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN276769
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN276769
MA
363LA2200X
Adult Health Nurse Practitioner
RN276769
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117629A
—
MA
Enumeration date
07/18/2016
Last updated
03/08/2022
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