Individual
JESSICA LYNN KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118-2605
(617) 414-4376
(617) 414-4676
Mailing address
801 MASSACHUSETTS AVE FL 2, BOSTON, MA 02118-2605
(617) 414-7554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN265327
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106573A
—
MA
Enumeration date
10/15/2015
Last updated
06/25/2019
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