Individual
JENNIFER DAWN GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
300 MAIN ST STE 15, WENHAM, MA 01984-1451
(978) 239-0222
Mailing address
300 MAIN ST STE 15, WENHAM, MA 01984-1451
(978) 239-0222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN232749
MA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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