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Individual

MS. JENNIFER ROSE BERTOLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, RN

Contact information

Practice address
245 DODGE ST, BEVERLY, MA 01915-1275
(978) 618-0239
Mailing address
245 DODGE ST, BEVERLY, MA 01915-1275
(978) 618-0239

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2269678
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
20121422
MA

Other

Enumeration date
07/14/2012
Last updated
07/14/2012
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