Organization
ADVANCED MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN MACNEIL PMNNP-BC (NURSE PRACTITIONER)
(978) 255-4871
Entity
Organization
Contact information
Practice address
42 PLEASANT ST UNIT 6A, NEWBURYPORT, MA 01950-2606
(978) 255-4871
Mailing address
42 PLEASANT ST UNIT 6A, NEWBURYPORT, MA 01950-2606
(978) 255-4871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780979757
NPI
MA
Enumeration date
08/15/2022
Last updated
01/23/2023
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