Individual
JONLYN DORIS GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 VFW PARKWAY, BOSTON, MA 02132
(857) 203-6574
Mailing address
1400 VFW PARKWAY, BOSTON, MA 02132
(857) 203-6574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2301677
MA
363LF0000X
Family Nurse Practitioner
RN2301677
MA
Other
Enumeration date
01/18/2023
Last updated
05/23/2023
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