Individual
JEREMIAH OGAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 599-9200
Mailing address
60 GRANITE ST, LYNN, MA 01904-2915
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2346548
MA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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