Individual
JAMIE L POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WOODLAND RD STE 322, STONEHAM, MA 02180-1713
(781) 523-5094
Mailing address
149 GREENWOOD ST, WAKEFIELD, MA 01880-4070
(781) 540-1560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2321546
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2321546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157824A
—
MA
Enumeration date
09/30/2019
Last updated
04/09/2020
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