Individual
JENNIFER GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0332
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 894-0332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
RN271339
MA
363L00000X
Nurse Practitioner
Primary
RN271339
MA
Other
Enumeration date
07/15/2015
Last updated
06/08/2016
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