Individual
JESSICA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
72 E CONCORD ST, BOSTON, MA 02118-2642
(617) 353-6630
Mailing address
249 COMMONWEALTH AVE, BOSTON, MA 02116-1658
(781) 762-5022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2330386
MA
363L00000X
Nurse Practitioner
Primary
2330386
MA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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