Individual
JENNIFER ANN BOCKLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8278
Mailing address
55 FRUIT STREET, ELLISON BLDG, 19TH FLOOR, BOSTON, MA 02114
(617) 797-4379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2301942
MA
363L00000X
Nurse Practitioner
Primary
RN2301942
MA
Other
Enumeration date
02/09/2016
Last updated
07/20/2021
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