Individual provider · Type 1 NPI
Jenna Lee Wessels
Psychiatric/Mental Health Nurse Practitioner · Waltham, MA
NPI number
1013481290
Active
Practice location
9 Hope Ave Ste 500
Waltham, MA 02453-2761
Fax (781) 647-6752
Mailing address
5 Eastman Rd Apt 2
Somerville, MA 02143-1305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN22914439 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F11180808 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1013481290
Jenna Lee Wessels's National Provider Identifier is 1013481290, issued on Jan 21, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waltham, MA. The record was last updated on Jan 21, 2019.