Individual
JENNICE BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2349137
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2349137
MA
Other
Enumeration date
01/28/2021
Last updated
01/31/2023
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