Individual
JHONY JONAS REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
207 APPALOOSA WAY, TAUNTON, MA 02780-8020
(239) 244-7475
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2022067388
MA
363LG0600X
Gerontology Nurse Practitioner
2022067388
MA
363LP2300X
Primary Care Nurse Practitioner
2022067388
MA
Other
Enumeration date
03/15/2023
Last updated
05/31/2023
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