Individual
MS. JENNIFER L. COLTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1191
Mailing address
5 BRENTWOOD WAY, IPSWICH, MA 01938-1176
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN2293462
MA
Other
Enumeration date
09/14/2016
Last updated
05/08/2018
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