Individual
MS. JOHANNA KENNEDY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
113 WASHINGTON ST, FOXBORO, MA 02035-1332
(774) 215-5579
(774) 215-6179
Mailing address
326 RIVER ST, WEST NEWTON, MA 02465-1438
(617) 680-8479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272189
MA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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