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Individual

JENNIFER M. TROWBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
275867
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MM07361121
MASSACHUSETTS SUBSTANCE CONTROL
MA
Enumeration date
01/09/2009
Last updated
03/07/2023
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