Individual
JENNIFER WOLF NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
631B NORTH ST, PITTSFIELD, MA 01201-4102
(413) 499-2051
(413) 445-9174
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 881-5427
(413) 496-9683
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN264826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096356A
—
MA
Enumeration date
08/31/2011
Last updated
10/08/2014
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