Individual
JENNIE LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 GROVE ST, MILLVILLE, MA 01529-1640
(508) 965-3053
Mailing address
114 GROVE ST, MILLVILLE, MA 01529-1640
(508) 965-3053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2281690
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2281690
MA BOARD OF NURSING
MA
Enumeration date
03/04/2016
Last updated
03/04/2016
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