Individual
JENNIFER BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(857) 218-3046
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(857) 218-3046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2318666
MA
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN2318666
MA
Other
Enumeration date
03/10/2019
Last updated
10/06/2021
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