Individual
JENNIFER LYNNE LIGHTBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
960 MAIN ST # 5, WALPOLE, MA 02081-2829
(508) 846-9697
Mailing address
1089 MAIN ST, WALPOLE, MA 02081-1827
(508) 846-9697
(508) 734-5076
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2264995
MA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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