Individual
JENNIFER RYAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
131 BURNHAM RD, LOWELL, MA 01852-1611
(978) 376-9940
Mailing address
131 BURNHAM RD, LOWELL, MA 01852-1611
(978) 376-9940
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
213955
MA
163WW0000X
Wound Care Registered Nurse
Primary
213955
MA
163WX1500X
Ostomy Care Registered Nurse
213955
MA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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