Individual
JENNIFER P. EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
161737
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN161737
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110012771A
—
MA
01
—
NP1060
BCBS
MA
Enumeration date
02/03/2006
Last updated
10/04/2017
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