Individual
JANE WAGEMA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
100 CUMMINGS CTR, SUITE 222C, BEVERLY, MA 01915-6115
(978) 524-9510
Mailing address
100 CUMMINGS CTR, SUITE 222C, BEVERLY, MA 01915-6115
(978) 524-9510
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
242191
MA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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