Individual
JO ANN MARIE MOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7636
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7636
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN201822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP0200X
—
MA
Enumeration date
06/14/2014
Last updated
04/18/2016
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