Healthcare Provider Details

I. General information

NPI: 1841114022
Provider Name (Legal Business Name): JENNY VO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WASHINGTON ST STE 360
WELLESLEY MA
02481-6204
US

IV. Provider business mailing address

64 WALES ST APT 4
ABINGTON MA
02351-2073
US

V. Phone/Fax

Practice location:
  • Phone: 781-588-3293
  • Fax:
Mailing address:
  • Phone: 781-588-3293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberPA102897
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: