Individual
ROSEVAN VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7000
Mailing address
13 WILLOW ST APT 303, LYNN, MA 01901-1230
(203) 889-8157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2330687
MA
Other
Enumeration date
01/21/2022
Last updated
04/23/2025
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