Individual
MRS. SHAMIKA L JEMISON-PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 KAHLER AVE APT 2, MILTON, MA 02186-1536
(781) 632-0543
Mailing address
22 KAHLER AVE APT 2, MILTON, MA 02186-1536
(781) 632-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2280120
MA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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