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Individual

MS. JAYMIE ADACHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
710 ROUTE 28, HARWICH PORT, MA 02646-1931
(508) 432-1400
Mailing address
13 DEER MEADOW RD, HARWICH, MA 02645-2223
(917) 796-5792
(646) 312-0481

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2322504
MA
363LF0000X
Family Nurse Practitioner
339291
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
05
04075292
NY
Enumeration date
12/17/2014
Last updated
05/12/2020
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