Individual
JENIFER LEE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 PORTLAND ST, BOSTON, MA 02114-1717
(508) 474-9247
(857) 327-9178
Mailing address
175 PORTLAND ST FL 3, BOSTON, MA 02114-1713
(508) 474-9247
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN285380
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN285380
MA
363LF0000X
Family Nurse Practitioner
Primary
RN285380
MA
Other
Enumeration date
02/16/2023
Last updated
07/23/2024
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