Individual
JENNIFER ISABEL ROSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
55 FRUIT ST, GRAY 290, BOSTON, MA 02114-2621
(617) 724-8314
Mailing address
12 INDIAN RIDGE RD, NEWTON, MA 02459-3502
(617) 527-0094
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
205745
MA
Other
Enumeration date
04/09/2010
Last updated
08/19/2019
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