Individual
LEE J JARNAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN161401
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074839A
—
MA
Enumeration date
02/02/2007
Last updated
11/11/2015
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