Individual
JACQUELINE DEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, NEUROLOGY DEPARTMENT, BOSTON, MA 02130-4817
(857) 364-4751
Mailing address
150 S HUNTINGTON AVE, NEUROLOGY DEPARTMENT, BOSTON, MA 02130-4817
(857) 364-4751
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2286114
MA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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