Individual
JENNIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
425 HARVARD ST,, DORCHESTER, MA 02124
(617) 740-0100
Mailing address
135 WEYMOUTH ST, HOLBROOK, MA 02343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2298349
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298349
MA
Other
Enumeration date
07/26/2016
Last updated
11/19/2024
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