Individual
MELISSA ANN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KENWOOD DR, RUTLAND, MA 01543-1544
(978) 696-6119
Mailing address
100 KENWOOD DR, RUTLAND, MA 01543-1544
(978) 696-6119
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN2303007
MA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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