Individual
JENNY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-2229
Mailing address
101 MILL ST APT 209, DRACUT, MA 01826-3273
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
MA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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