Gourde, Jennifer

Gourde, Jennifer is an individual health care provider with primary practice located at 300 Longwood Ave Division Of Emergency Medicine Cb 0120, Boston MA 02115-5724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gourde, Jennifer can be contacted via phone (617) 355-6624.

Contact Information

Primary practice address
300 Longwood Ave Division Of Emergency Medicine Cb 0120 Boston MA 02115-5724
Phone: (617) 355-6624
Fax: (617) 730-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN257310 Massachusetts

Profile Details

NPI number 1780906511
LBN Legal business name Gourde, Jennifer
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2010
Last updated Feb 21st, 2010 - about 16 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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