Individual
MRS. JEAN A WAITNEIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC,PNP-BC
Contact information
Practice address
299 WASHINGTON ST, NEWTON, MA 02458-1612
(617) 969-8989
Mailing address
299 WASHINGTON ST, NEWTON, MA 02458-1612
(617) 969-8989
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN258646
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN258646
MA
Other
Enumeration date
04/26/2007
Last updated
02/04/2025
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