Individual
MRS. JACQUELYN CAROL CENSULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 BULFINCH TER, LYNN, MA 01902-1021
(781) 724-1796
Mailing address
41 BULFINCH TER, LYNN, MA 01902-1021
(781) 724-1796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2261610
MA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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