JENNIFER M COSTA

WORCESTER, MA
NPI1225246341
Former NameJENNIFER M SPENCER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MA  RN253211)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: MA  RN253211)
Enumeration Date2007-05-21
Last Update Date2020-11-10
Business Address
JENNIFER M COSTA NP
55 LAKE AVE N PEDIATRIC HEMATOLOGY-ONCOLOGY
WORCESTER, MA 01655-0002
Phone number: 508-856-4225
Mailing Address
JENNIFER M COSTA NP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885