Individual
MS. JESSICA CAROLE CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PMHNP-BC
Contact information
Practice address
151 EVERETT AVE, CHELSEA, MA 02150-1812
(617) 889-8515
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 889-8515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2336794
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2336794
MA
Other
Enumeration date
03/23/2023
Last updated
07/11/2023
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