| NPI | 1790378487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JORDAN Member 413-695-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |