Doctor Name: | JENNIFER CATHERINE PARA |
NPI Number: | 1770962094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | RN2270717 |
Business Practice Address: | 46 N Main St West Brookfield, MA - 015853232 |
Business Phone Number: | 5088678977 |
Business Fax Number: | |
Mailing Address: | 46 N Main St, WEST BROOKFIELD |
State: | MA |
Postal Code: | 015853232 |
Phone Number: | 5088678977 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN2270717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |