Individual
PENELOPE JANE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C ,PSYCH NP-C, C
Contact information
Practice address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
122882
MA
363L00000X
Nurse Practitioner
122882
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
122882 NP
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
122882 NP
MA
Other
Enumeration date
07/06/2006
Last updated
02/09/2009
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