person
Judana Sandra Bennett
Psychiatric/Mental Health Nurse Practitioner in Boston, Massachusetts
NPI 1073130167

Judana Sandra Bennett is a Psychiatric/Mental Health Nurse Practitioner based in Stoughton, MA and is specialized in Psychiatric/Mental Health. Judana Sandra Bennett practices in Boston, MA. The NPI Number for Judana Sandra Bennett is 1073130167 and holds a License No. (Massachusetts).

The current practice location address for Judana Sandra Bennett is 55 Fruit St, Boston, MA and can be reached out via phone at 617-643-8281.

Location: 55 Fruit St, Boston, MA, 02072-3396
person
Provider Profile Details
NPI Number
1073130167
Provider Name
Judana Sandra Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02072-3396
Phone Number
617-643-8281
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-643-8281
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-643-8281
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN2278761 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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.
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