Individual
JESSICA LYNNE PRINCIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
212A WELLS DR, ATHENS, GA 30606-4054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1014884
MA
Other
Enumeration date
03/28/2019
Last updated
12/11/2023
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