Individual
JESSICA GRANT HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
114 LAKE SHORE AVE, SOUTH HAMILTON, MA 01982-2604
(508) 284-9937
Mailing address
114 LAKE SHORE AVE, SOUTH HAMILTON, MA 01982-2604
(508) 284-9937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2266142
MA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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