Individual
JENNIFER STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
38 JACKSON RD, DEVENS, MA 01434-4020
(978) 588-6035
(978) 588-6628
Mailing address
38 JACKSON RD, DEVENS, MA 01434-4020
(978) 588-6035
(978) 588-6628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN276676
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN276676
LICENSE
MA
Enumeration date
09/11/2014
Last updated
06/24/2021
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