Individual
MRS. JESSICA ARCE MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02114
(617) 726-2760
(617) 724-0405
Mailing address
55 FRUIT ST, CHURCHILL SURGICAL SERVICE, BOSTON, MA 02114-2621
(617) 726-2760
(617) 724-0405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2306037
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2306037
MA
Other
Enumeration date
11/20/2018
Last updated
04/28/2025
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