Individual
JESSICA VANDOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
150 DORCHESTER AVE APT 203, BOSTON, MA 02127-1084
(518) 491-5330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2334331
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2334331
MA
Other
Enumeration date
07/03/2023
Last updated
06/14/2025
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