Individual
JAMIE TENNEILL ISAAC JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
330 BROOKLINE AVE, BIDMC, DEPARTMENT OF OB/GYN, SHAPIRO 8TH FLOOR, BOSTON, MA 02215-5400
(617) 667-3736
(617) 667-7493
Mailing address
330 BROOKLINE AVE, BIDMC, DEPARTMENT OF OB/GYN, SHAPIRO 8TH FLOOR, BOSTON, MA 02215-5400
(617) 667-3736
(617) 667-7493
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2292515
MA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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