Individual
JESSICA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WASHINGTON ST, PACT, TAUNTON, MA 02780-3960
(508) 828-9675
Mailing address
450 SOMERSET AVE, #102, TAUNTON, MA 02780-4884
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
265782
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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