Individual
JOANNA REGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 HIGHLAND ST, BROCKTON, MA 02301-3721
(774) 386-6700
Mailing address
107 HIGHLAND ST, BROCKTON, MA 02301-3721
(774) 386-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2318791
MA
363LF0000X
Family Nurse Practitioner
4054891
KY
Other
Enumeration date
11/02/2022
Last updated
04/21/2026
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