Individual
JEANNE B LAROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4950
(508) 273-4950
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216221
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
216221
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321401
—
MA
Enumeration date
01/18/2006
Last updated
04/22/2020
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