Individual
JACQUELINE RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
466 COUNTY ST, NEW BEDFORD, MA 02740-5107
(508) 997-0794
(508) 999-6607
Mailing address
466 COUNTY ST, NEW BEDFORD, MA 02740-5107
(508) 997-0794
(508) 999-6607
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
164433
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164433
NP
MA
Enumeration date
03/21/2007
Last updated
07/08/2007
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