Individual
JENNIFER FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1 PEARL ST STE 2100, BROCKTON, MA 02301-2868
(508) 897-6040
Mailing address
1 PEARL ST STE 2100, BROCKTON, MA 02301-2868
(508) 897-6040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2340583
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2340583
MA
Other
Enumeration date
06/22/2021
Last updated
02/07/2022
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