Individual provider · Type 1 NPI
Jennifer Ann Livesley, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Brockton, MA
NPI number
1922574946
Active
Practice location
22 Christys Dr
Brockton, MA 02301-1839
Mailing address
33 Millers Brook Dr
Cumberland, RI 02864-6163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2283765 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922574946
Jennifer Ann Livesley, PMHNP-BC's National Provider Identifier is 1922574946, issued on Oct 17, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brockton, MA. The record was last updated on Oct 17, 2018.