Individual
JESSICA LYNN COURNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
40 COLONIAL DR, SOUTHBRIDGE, MA 01550-2254
(508) 887-2034
Mailing address
40 COLONIAL DR, SOUTHBRIDGE, MA 01550-2254
(508) 887-2034
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN280342
MA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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