Individual
GEORGE TOWNSEND STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
35 MARKET ST, LOWELL, MA 01852-6245
(978) 459-0389
Mailing address
35 MARKET ST, LOWELL, MA 01852-6245
(978) 459-0389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2302822
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2302822
MA
Other
Enumeration date
10/06/2021
Last updated
05/21/2024
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