Doctor Name: | JESSICA CHRISTENSEN |
NPI Number: | 1013317247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NPP37909 |
Business Practice Address: | 50 Main Street Stockbridge, MA - 012620238 |
Business Phone Number: | 4132983700 |
Business Fax Number: | |
Mailing Address: | Po Box 238, STOCKBRIDGE |
State: | MA |
Postal Code: | 012620238 |
Phone Number: | 4132983700 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NPP37909 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |