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NPI Code Detail

MEDICARE: JENNIFER A CHASE NP

MEDICARE: JENNIFER A CHASE 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
1363L00000XNurse Practitioner162641MA

General Provider Information

NPI Number : 1932182979
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A CHASE NP
Provider Business Mailing Address
First Line : 312 BEDFORD ST
Second Line :
City : WHITMAN
State : MA
Zip : 02382-1859
Country : US
Telephone Number : 781-792-6000
Fax Number : 781-792-6067
Provider Business Practice Location Address
First Line : 312 BEDFORD ST
Second Line :
City : WHITMAN
State : MA
Zip : 02382-1859
Country : US
Telephone Number : 781-792-6000
Fax Number : 781-792-6067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 10/06/2009

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