Individual
NICOLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 BEACON ST STE 8W, BROOKLINE, MA 02446-5587
(617) 855-7288
Mailing address
1101 BEACON ST STE 8W, BROOKLINE, MA 02446-5587
(617) 855-7288
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2324861
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2023
Last updated
11/04/2024
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