Individual
MRS. JEAN A ANSCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
111418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079031
VALUE OPTIONS
MA
01
—
1031020
BEACON AND NHP
MA
05
—
1891677
—
MA
01
—
454937
TUFTS
MA
01
—
7992321
CIGNA
MA
01
—
PN0034
BC BS
MA
Enumeration date
01/08/2007
Last updated
07/09/2007
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