Individual
JESSICA BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(617) 616-1600
Mailing address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(617) 616-1600
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN2358317
MA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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