Individual
JILLIAN LEE PANICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
541 HIGH ST, WESTWOOD, MA 02090-1628
(781) 326-7700
(781) 251-0910
Mailing address
75 PARKVIEW ST APT 201, WEYMOUTH, MA 02190-3931
(617) 895-8211
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2344675
MA
Other
Enumeration date
10/24/2022
Last updated
03/12/2026
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