Individual
MRS. JACQUELYN MARIE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 MACARTHUR RD, BEVERLY, MA 01915-1629
(978) 921-0745
Mailing address
25 RUST ST, SOUTH HAMILTON, MA 01982-2222
(978) 468-3622
(781) 944-9808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704814
—
MA
Enumeration date
04/09/2007
Last updated
07/09/2007
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