Distasio, Jenna Christina

Distasio, Jenna Christina is an sole proprietor health care provider with primary practice located at 91 Parker Hill Ave , Roxbury Crossing MA 02120-3215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Distasio, Jenna Christina can be contacted via phone (617) 754-6742.

Contact Information

Primary practice address
91 Parker Hill Ave Roxbury Crossing MA 02120-3215
Phone: (617) 754-6742
Fax: (617) 754-6443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2229 Massachusetts

Profile Details

NPI number 1215148606
LBN Legal business name Distasio, Jenna Christina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Aug 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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