Individual
JESSICA B LIBISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 CENTER ST, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Mailing address
200 CENTER ST, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
251249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251249
LICENSE NO
MA
Enumeration date
08/13/2007
Last updated
08/13/2007
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