Healthcare Provider Details

I. General information

NPI: 1659207728
Provider Name (Legal Business Name): KATHERINE JOYCE WESNER DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE JOYCE FLANAGAN DNP, FNP-BC

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1153 CENTRE ST
JAMAICA PLAIN MA
02130-3446
US

IV. Provider business mailing address

20 SUMNER ST
CANTON MA
02021-2127
US

V. Phone/Fax

Practice location:
  • Phone: 617-983-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026025260
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: