Individual
MS. JESSICA N ODOTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4100
Mailing address
23 PATRIOTS BLVD, HOPKINTON, MA 01748-1076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2312345
MA
Other
Enumeration date
03/04/2020
Last updated
02/12/2021
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