Individual
JACQUELINE EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 HAMPSHIRE ST, APT 3, CAMBRIDGE, MA 02139-1541
(781) 724-1756
Mailing address
102 HAMPSHIRE ST, APT 3, CAMBRIDGE, MA 02139-1541
(781) 724-1756
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2299397
MA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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