Individual
JANE W NDEGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 WASHINGTON ST, BOXFORD, MA 01921-1017
(781) 962-3060
(978) 824-3872
Mailing address
PO BOX 3904, PEABODY, MA 01961-3904
(781) 883-2919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235730
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701556
—
MA
Enumeration date
11/07/2005
Last updated
04/03/2014
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