Individual
JENNIFER CHAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
281275
MA
363L00000X
Nurse Practitioner
Primary
RN281275
MA
363LF0000X
Family Nurse Practitioner
281275
MA
Other
Enumeration date
06/16/2014
Last updated
03/13/2020
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