Individual
JILL P DESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
156 FRONT ST UNIT 2, MARION, MA 02738-1501
(508) 500-6533
Mailing address
65 JAMES BIRCH LN, SWANSEA, MA 02777-4635
(508) 677-7417
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2305537
MA
Other
Enumeration date
03/20/2023
Last updated
09/30/2025
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