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Individual

MR. JOHN F HUMPHRYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PNP, PMHNP

Contact information

Practice address
147 COURT ST, PLYMOUTH, MA 02360-8724
(781) 752-5158
Mailing address
52 HEMLOCK ST, NEEDHAM, MA 02492-3519
(781) 752-5158

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277690
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277690
MA

Other

Enumeration date
05/12/2017
Last updated
04/21/2023
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