Individual
JOSHUA JACKSON SELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
285 PLANTATION ST APT 627, WORCESTER, MA 01604-7715
(508) 736-3326
Mailing address
285 PLANTATION ST APT 627, WORCESTER, MA 01604-7715
(508) 736-3326
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2303725
MA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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