Individual
MISS JENNIFER GOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE CB 0120, BOSTON, MA 02115-5724
(617) 355-6624
(617) 730-0335
Mailing address
300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE CB 0120, BOSTON, MA 02115-5724
(617) 355-6624
(617) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN257310
MA
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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