Individual
JESSICA DACIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
2299272
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
2299272
MA
Other
Enumeration date
10/28/2016
Last updated
01/06/2021
Update your record
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