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1134322936
LOUISA LEA JELLISON
BOSTON, MA
NPI
1134322936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner Neonatal
(Licence: MA 115843)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
MS. LOUISA LEA JELLISON RNC, MSN, NNP
750 WASHINGTON ST BOX # 300
BOSTON, MA 02111-1526
Phone number: 617-636-5008
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Mailing Address
MS. LOUISA LEA JELLISON RNC, MSN, NNP
15 CARRIAGE LN
READING, MA 01867-1373
Phone number: 781-942-0115
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