Individual
MARIE JELLINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
449 ROUTE 130, SANDWICH, MA 02563
(508) 888-9241
(508) 888-9243
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256251
MAGELLAN
MA
01
—
727622
TUFTS HEALTH
MA
Enumeration date
09/25/2006
Last updated
07/08/2007
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