Individual
JENNIFER ROSE BALUKONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6144
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1699
(617) 243-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
053185-23
NH
363L00000X
Nurse Practitioner
259428
MA
363L00000X
Nurse Practitioner
Primary
RN259428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347938
—
NH
Enumeration date
10/28/2005
Last updated
08/18/2021
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