Individual
JACQUELINE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CNP
Contact information
Practice address
319 LONGWOOD AVE, 6TH FLOOR SPORTS MEDICINE, BOSTON, MA 02115-5728
(617) 355-3501
Mailing address
319 LONGWOOD AVE, 6TH FLOOR SPORTS MEDICINE, BOSTON, MA 02115-5728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2261209
MA
Other
Enumeration date
10/06/2015
Last updated
07/19/2017
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