Individual
JESSICA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8000
Mailing address
51 EMMONS ST, MILFORD, MA 01757-2015
(774) 570-1291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2310670
MA
363L00000X
Nurse Practitioner
Primary
RN2310670
MA
Other
Enumeration date
10/04/2023
Last updated
06/18/2025
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