Jessica Waters, CNP | |
298 Washington St, Gloucester, MA 01930-4832 | |
(978) 283-5079 | |
(978) 282-1371 |
Full Name | Jessica Waters |
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Gender | Female |
Speciality | Pediatrics |
Location | 298 Washington St, Gloucester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528435179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RN2269923 (Massachusetts) | Primary |
Entity Name | Lynn Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997691 PECOS PAC ID: 0042217507 Enrollment ID: O20061026000348 |
Mailing Address | Practice Location Address |
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Jessica Waters, CNP 298 Washington St, Gloucester, MA 01930-4832 Ph: (978) 283-5079 | Jessica Waters, CNP 298 Washington St, Gloucester, MA 01930-4832 Ph: (978) 283-5079 |
Mr. Jeffrey M Stockman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 298 Washington St, Babson Professional Building, Gloucester, MA 01930 Phone: 978-283-5079 Fax: 978-283-1371 | |
Mr. Brian G Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 298 Washington St, Babson Professional Building, Gloucester, MA 01930 Phone: 978-283-5079 | |
Mr. Thomas V Carbone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 298 Washington St, Babson Professional Building, Gloucester, MA 01930 Phone: 978-283-5079 Fax: 978-282-1371 |