Individual
MRS. JODY A KENNEALLY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 568-4477
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 568-4477
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
280215
MA
Other
Enumeration date
06/23/2010
Last updated
01/15/2013
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