Individual
JENNIFER GLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 STATE AVE, TIVERTON, RI 02878-1062
(774) 300-3444
Mailing address
10 TERRY LN, BRIDGEWATER, MA 02324-2053
(774) 222-2779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2316798
MA
Other
Enumeration date
03/18/2024
Last updated
10/11/2024
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