Individual
MRS. JENNIFER SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
705 MOUNT AUBURN ST, WATERTOWN, MA 02472-1508
(617) 972-9400
Mailing address
53 BOURBON ST, PORTSMOUTH, RI 02871-2803
(401) 660-0115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN274858
MA
Other
Enumeration date
08/14/2014
Last updated
12/11/2018
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