Individual
MISS JENNIFER FORKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-2844
Mailing address
5221 AVALON DR W, ORANGE, CT 06477-3677
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
125046
CT
163WC0200X
Critical Care Medicine Registered Nurse
RN2335757
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2335757
MA
Other
Enumeration date
09/04/2019
Last updated
11/11/2019
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