Individual
MS. JACQUELINE MICHELLE GRENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
340 MAIN ST, SOUTH BAY MENTAL HEALTH CENTER, WORCESTER, MA 01608-1604
(508) 791-4976
(508) 791-6723
Mailing address
340 MAIN ST, SOUTH BAY MENTAL HEALTH CENTER, WORCESTER, MA 01608-1604
(508) 791-4976
(508) 791-6723
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239270
MA
Other
Enumeration date
09/06/2012
Last updated
01/11/2013
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