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Organization

ABBY J WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABULINE PATIENCE JAIDAH NP (PMHNP-BC)
(857) 245-5583
Entity
Organization

Contact information

Practice address
145 TREMONT ST, BOSTON, MA 02111-1208
(857) 245-5583
Mailing address
145 TREMONT ST, BOSTON, MA 02111-1208
(857) 245-5583

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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