Individual
JENNIFER SUZANNE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6180
Mailing address
28 1/2 BROAD ST, SALEM, MA 01970-3143
(781) 864-8048
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN234071
MA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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