Individual
MS. JACQUELYN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2000 WASHINGTON ST STE 466, NEWTON, MA 02462-1629
(617) 969-8989
Mailing address
2000 WASHINGTON ST STE 466, NEWTON, MA 02462-1629
(617) 969-8989
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2302755
MA
Other
Enumeration date
08/11/2021
Last updated
01/13/2022
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