Individual
JENNIFER D. MYGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
197 ADAMS RD, WILLIAMSTOWN, MA 01267
(413) 458-8182
(413) 458-3140
Mailing address
197 ADAMS RD, WILLIAMSTOWN, MA 01267-2930
(413) 458-8182
(413) 458-3140
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
93442
CT
163WG0000X
General Practice Registered Nurse
RN2265698
MA
363L00000X
Nurse Practitioner
Primary
2265698
MA
Other
Enumeration date
08/25/2011
Last updated
05/14/2018
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