Individual
JENNIFER L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 DONALD'S WAY, EAST BRIDGEWATER, MA 02333
(508) 941-7100
(508) 894-0412
Mailing address
1 DONALD'S WAY, EAST BRIDGEWATER, MA 02333-1148
(508) 941-7100
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2009007598
MA
363LF0000X
Family Nurse Practitioner
Primary
RN278952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002002704
MEDICARE
MA
01
—
110093072A
MASSHEALTH
MA
Enumeration date
08/14/2009
Last updated
06/18/2024
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