Individual
JENNIFER ALLISON FARRAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 HARRISON AVE, YACC 5, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
801 ALBANY ST, FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2270642
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2270642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101187A
—
MA
Enumeration date
09/07/2014
Last updated
02/21/2020
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