Individual
LYNNE JEANNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SHATTUCK RD STE 250, ANDOVER, MA 01810-2456
(978) 222-3121
Mailing address
32 AUSTIN ST, HYDE PARK, MA 02136-1504
(781) 706-2140
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2275107
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2275107
MA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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