Individual
MRS. JEANETTE S PARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 NEW DRIFTWAY, STE 201, SCITUATE, MA 02066-4530
(781) 545-9225
(781) 545-8560
Mailing address
PO BOX 68, S WEYMOUTH, MA 02190-0001
(781) 803-2786
(781) 812-1631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201006
HPHC
MA
05
—
3198812
—
MA
01
—
355282
CIGNA
—
01
—
400022
TUFTS USFHP
—
01
—
756268
TUFTS
—
01
—
PAJ16387
BCBS
MA
Enumeration date
11/03/2005
Last updated
10/03/2024
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