Organization
JSB WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SIROIS BEAUDOIN (PRESIDENT, OWNER)
(978) 580-9758
Entity
Organization
Contact information
Practice address
997 OSGOOD STREET, NORTH ANDOVER, MA 01845
(978) 580-9758
Mailing address
18 BIRCH HILL DR, METHUEN, MA 01844-4165
(978) 580-9758
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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