| Doctor Name: | JANE W NDEGWA |
| NPI Number: | 1982685186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 235730 |
| Business Practice Address: | 200 Washington St Boxford, MA - 019211017 |
| Business Phone Number: | 7819623060 |
| Business Fax Number: | 9788243872 |
| Mailing Address: | Po Box 3904, PEABODY |
| State: | MA |
| Postal Code: | 019613904 |
| Phone Number: | 7818832919 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 04/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 235730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |