Individual
JENNIFER CATHERINE AMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300264
NC
2080A0000X
Pediatric Adolescent Medicine Physician
300264
NC
363LP0200X
Pediatric Nurse Practitioner
300264
NC
363LP0200X
Pediatric Nurse Practitioner
AP60023099
WA
363LP0200X
Pediatric Nurse Practitioner
RN1008418
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2299302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2297845
MULTI-PLAN
—
05
—
110102976A
—
MA
01
—
1679557987
NEIGHBORHOOD HEALTH PLAN
MA
01
—
1679557987
FALLON
—
01
—
NP8062
BCBSMA
MA
Enumeration date
11/30/2005
Last updated
10/29/2015
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