Individual
JEROME EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(508) 408-9200
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
(508) 427-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2279640
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2279640
MA
Other
Enumeration date
06/28/2022
Last updated
01/10/2023
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