Individual
JOCELYN NICOLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 HARRISON AVE, MENINO BUILDING, BOSTON, MA 02118
(617) 638-8605
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003647
CT
363A00000X
Physician Assistant
Primary
PA5843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110132178A
—
MA
05
—
3143744
—
NH
Enumeration date
08/26/2016
Last updated
10/31/2024
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