Individual
JENNIFER L. STOCKBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
275 CAMBRIDGE ST # 530, BOSTON, MA 02114-3108
(617) 726-8707
Mailing address
275 CAMBRIDGE ST # 530, BOSTON, MA 02114-3108
(617) 726-8707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
242853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700673
—
MA
Enumeration date
07/20/2006
Last updated
04/29/2020
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