Individual provider · Type 1 NPI
Louisa Lea Jellison, RNC, MSN, NNP
Neonatal Nurse Practitioner · Boston, MA
NPI number
1134322936
Active
Practice location
750 Washington St, Box # 300
Boston, MA 02111-1526
Fax (617) 636-9653
Mailing address
15 Carriage Ln
Reading, MA 01867-1373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 115843 (MA) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1134322936
Louisa Lea Jellison, RNC, MSN, NNP's National Provider Identifier is 1134322936, issued on Jun 8, 2007. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.