Individual
JOANNE S JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
110 CUSHING ST, CAMBRIDGE, MA 02138-4533
(617) 349-6033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2282885
MA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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