Individual
JESSICA DALUSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 FENWAY, BOSTON, MA 02115-5820
(617) 521-2000
Mailing address
300 FENWAY, BOSTON, MA 02115-5820
(617) 521-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2320039
MA
Other
Enumeration date
07/25/2022
Last updated
09/20/2022
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