Individual
JESSICA TIBURTINO STAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
151 CAMPANELLI DR STE B, MIDDLEBORO, MA 02346-1086
(508) 866-8895
Mailing address
151 CAMPANELLI DR STE B, MIDDLEBORO, MA 02346-1086
(508) 866-8895
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2272863
MA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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