Individual
JILL KATHRYN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
28 RIVERSIDE DR STE 260, PEMBROKE, MA 02359-4947
(781) 427-7070
Mailing address
28 RIVERSIDE DR STE 260, PEMBROKE, MA 02359-4947
(781) 427-7070
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2305395
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2305395
MA
Other
Enumeration date
02/27/2023
Last updated
08/24/2023
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