Individual
MRS. JENNIFER RENAY SALANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 TINKHAM RD, SPRINGFIELD, MA 01129-1935
(413) 731-4997
(413) 783-0675
Mailing address
942 W CHESTNUT ST, BROCKTON, MA 02301-5567
(508) 583-3005
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704292307
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2311003
MA
363LP2300X
Primary Care Nurse Practitioner
4704292307
MI
Other
Enumeration date
09/27/2016
Last updated
04/17/2023
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