Individual
JENNA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2294240
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2294240
MA
Other
Enumeration date
07/12/2021
Last updated
08/15/2022
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