Individual
JEANETTE L. CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2547 MAIN ST, SPRINGFIELD, MA 01107-1900
(413) 204-1094
Mailing address
2547 MAIN ST, SPRINGFIELD, MA 01107-1900
(413) 204-1094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2266634
MA
Other
Enumeration date
03/07/2020
Last updated
03/21/2024
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