Individual
JONATHAN PATRICK DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C, PMHNP
Contact information
Practice address
141 WESTERN AVE APT 1, CAMBRIDGE, MA 02139-3702
(517) 927-2831
Mailing address
141 WESTERN AVE APT 1, CAMBRIDGE, MA 02139-3702
(617) 466-9083
(617) 485-1950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2291351
MA
Other
Enumeration date
10/20/2016
Last updated
01/01/2025
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