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NPI Code Detail

MEDICARE: JENNIFER A KANIA PMHNP

MEDICARE: JENNIFER A KANIA PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2275084MA

General Provider Information

NPI Number : 1881233203
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A KANIA PMHNP
Provider Business Mailing Address
First Line : 52 REDLANDS RD APT 2
Second Line :
City : WEST ROXBURY
State : MA
Zip : 02132-1507
Country : US
Telephone Number : 508-206-8578
Fax Number :
Provider Business Practice Location Address
First Line : 1500 BOSTON PROVIDENCE TPKE STE 20
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
Country : US
Telephone Number : 508-206-8578
Fax Number : 866-470-6528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2020
Last Update Date : 08/12/2025

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