Individual provider · Type 1 NPI
Judana Sandra Bennett
Psychiatric/Mental Health Nurse Practitioner · Roxbury, MA
NPI number
1073130167
Active
Practice location
45 Dimock St
Roxbury, MA 02119-1208
Mailing address
PO Box 191134
Roxbury, MA 02119-0023
Other practice locations
- 25 James Oneill St, Boston, MA 02127-4504 · (617) 534-9500
- 23 Bradston St, Boston, MA 02118-2703 · (617) 318-6484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2278761 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Roxbury
About NPI 1073130167
Judana Sandra Bennett's National Provider Identifier is 1073130167, issued on Jul 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Roxbury, MA. The record was last updated on Oct 29, 2025.