MEDICARE: JENNIFER FINNERTY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	1720586084	MA

General Provider Information

NPI Number	:	1720586084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER FINNERTY NP

Provider Business Mailing Address
First Line	:	160 OLD DERBY ST STE 457
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4062
Country	:	US
Telephone Number	:	781-837-8833
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 OLD DERBY ST STE 457
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4062
Country	:	US
Telephone Number	:	781-837-8833
Fax Number	:	781-374-7552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	03/10/2020

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