Individual provider · Type 1 NPI
Jennifer Gourde, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1780906511
Active
Practice location
300 Longwood Ave, Division Of Emergency Medicine Cb 0120
Boston, MA 02115-5724
Fax (617) 730-0335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN257310 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780906511
Jennifer Gourde, CPNP's National Provider Identifier is 1780906511, issued on Feb 21, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Feb 21, 2010.