Healthcare Provider Details

I. General information

NPI: 1720586084
Provider Name (Legal Business Name): JENNIFER FINNERTY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 OLD DERBY ST STE 457
HINGHAM MA
02043-4062
US

IV. Provider business mailing address

160 OLD DERBY ST STE 457
HINGHAM MA
02043-4062
US

V. Phone/Fax

Practice location:
  • Phone: 781-837-8833
  • Fax: 781-374-7552
Mailing address:
  • Phone: 781-837-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1720586084
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: