Jelena Kupcevic, FNP-BC | |
330 Lynnway Ste 109a, Lynn, MA 01901-1713 | |
(781) 593-6005 | |
Not Available |
Full Name | Jelena Kupcevic |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 330 Lynnway Ste 109a, Lynn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619731585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN2338113 (Massachusetts) | Primary |
Entity Name | Congenial Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730608720 PECOS PAC ID: 5395011522 Enrollment ID: O20171016002508 |
Mailing Address | Practice Location Address |
---|---|
Jelena Kupcevic, FNP-BC 330 Lynnway Ste 109a, Lynn, MA 01901-1713 Ph: () - | Jelena Kupcevic, FNP-BC 330 Lynnway Ste 109a, Lynn, MA 01901-1713 Ph: (781) 593-6005 |
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