Individual
JANE TEVNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 MAIN ST, MILLIS, MA 02054-1612
(508) 376-2515
(508) 376-9932
Mailing address
171 MAIN ST STE 203B, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
181950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081232A
—
MA
Enumeration date
05/07/2008
Last updated
11/02/2023
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