Richardson, Jennifer L

Richardson, Jennifer L is an individual health care provider with primary practice located at 1 Donald'S Way , East Bridgewater MA 02333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Jennifer L can be contacted via phone (508) 941-7100.

Contact Information

Primary practice address
1 Donald'S Way East Bridgewater MA 02333
Fax: (508) 894-0412
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2009007598 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN278952 Massachusetts

Profile Details

NPI number 1083846760
LBN Legal business name Richardson, Jennifer L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Jun 18th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083846760 NPPES
Massachusetts Other 002002704 MEDICARE
Massachusetts Other 110093072A MEDICARE

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