Individual provider · Type 1 NPI
Stacey Ann Gennis, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1033879986
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN216459 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1033879986
Stacey Ann Gennis, PNP's National Provider Identifier is 1033879986, issued on Dec 20, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Dec 20, 2021.