Individual provider · Type 1 NPI

Jennifer Leonellys Nova

Student in an Organized Health Care Education/Training Program · Mattapan, MA

NPI number 1225409949 Active

Practice location

1613 Blue Hill Ave
Mattapan, MA 02126-2123

Call (857) 598-4774 Map

Mailing address

35 Colgate Rd
Boston, MA 02131-1105

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8 other providers at this address

Other student in an organized health care education/training program providers in Mattapan

See all in Mattapan →

About NPI 1225409949

Jennifer Leonellys Nova's National Provider Identifier is 1225409949, issued on Oct 8, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mattapan, MA. The record was last updated on Oct 8, 2015.