Individual
LINE ROSE ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 FOREST AVE, BROCKTON, MA 02301-5055
(617) 827-4820
Mailing address
317 FOREST AVE, BROCKTON, MA 02301-5055
(617) 827-4820
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2263597
MA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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