Individual
JESSICA E HAFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
36 STEWART TER, BELMONT, MA 02478-3956
(617) 697-1917
Mailing address
36 STEWART TER, BELMONT, MA 02478-3956
(617) 484-7173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
064299-21
NH
163W00000X
Registered Nurse
642900
NY
163W00000X
Registered Nurse
Primary
RN2270303
MA
363LA2100X
Acute Care Nurse Practitioner
RN2270301
MA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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