Individual
JACLYN NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 219-1230
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 219-1230
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
698814
NY
363L00000X
Nurse Practitioner
Primary
RN2345717
MA
363LA2200X
Adult Health Nurse Practitioner
308093
NY
Other
Enumeration date
02/02/2016
Last updated
09/05/2022
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