Individual
NICOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
66 NEWCOMB AVE, RANDOLPH, MA 02368-2654
(617) 595-3320
Mailing address
66 NEWCOMB AVE, RANDOLPH, MA 02368-2654
(617) 595-3320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89735
MA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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