Organization
JESSICA RAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CARLIN APRN (OWNER)
(508) 743-5542
Entity
Organization
Contact information
Practice address
243 MAIN ST, BUZZARDS BAY, MA 02532-3229
(508) 743-5542
Mailing address
243 MAIN ST, BUZZARDS BAY, MA 02532-3229
(508) 743-5542
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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