Individual
JOANNA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0100
Mailing address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2293192
MA
363L00000X
Nurse Practitioner
Primary
RN2293192
MA
Other
Enumeration date
04/30/2020
Last updated
06/08/2020
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