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Individual

JEAN WISHINGSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
124 WHEELER RD, MASHPEE, MA 02649-4315
(207) 514-3153
Mailing address
124 WHEELER RD, MASHPEE, MA 02649-4315
(207) 514-3153

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN255104
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432540599
ME
Enumeration date
05/03/2007
Last updated
02/12/2012
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