Individual
JAMES ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
900 CUMMINGS CENTER, SUITE 107W, LAHEY HEALTH PRIMARY CARE, BEVERLY, BEVERLY, MA 01915
(978) 927-1859
Mailing address
900 CUMMINGS CENTER, SUITE 107W, LAHEY HEALTH PRIMARY CARE, BEVERLY, BEVERLY, MA 01915
(978) 927-1859
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN2289482
MA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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