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Individual

JEANNETTE CALIXTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1223 BEACON ST, BROOKLINE, MA 02446-5302
(323) 826-8362
Mailing address
508 OLD SOUTH ST, AVON, MA 02322-1535
(323) 826-8362

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
258924
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
258924
MA

Other

Enumeration date
01/25/2017
Last updated
01/08/2024
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