Individual
MS. DENISE LUCILLE JEZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN ACNS
Contact information
Practice address
45 PEARL ST, BROCKTON, MA 02301-2858
(508) 586-4688
(508) 584-3279
Mailing address
45 PEARL ST, BROCKTON, MA 02301-2858
(508) 586-4688
(508) 584-3279
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN173824
MA
Other
Enumeration date
07/30/2012
Last updated
10/03/2012
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