Individual
JUDITH ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 SHERIDAN ST, TAUNTON, MA 02780-2915
(774) 409-5078
Mailing address
11 SHERIDAN ST, TAUNTON, MA 02780-2915
(774) 409-5078
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN2329051
MA
163WC0400X
Case Management Registered Nurse
RN2329051
MA
163WG0000X
General Practice Registered Nurse
Primary
RN2329051
MA
163WH0200X
Home Health Registered Nurse
RN2329051
MA
163WS0200X
School Registered Nurse
RN2329051
MA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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