Mrs. Stacey Ann Gennis
Nurse Practitioner - Pediatrics
300 Longwood Ave
Boston
, Massachusetts 02115-5724
Mrs. Stacey Ann Gennis
Nurse Practitioner - Pediatrics
300 Longwood Ave
Boston
, Massachusetts 02115-5724
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Stacey Ann Gennis
- 300 Longwood Ave
- Boston, MA
- Zip : 02115-5724
- Phone :
Second Address
- Mrs. Stacey Ann Gennis
- 300 Longwood Ave
- Boston, MA
- Zip : 02115-5724
- Phone : (617) 355-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN216459 | MA |
National Provider Identifier
| NPI | 1033879986 |
|---|---|
| Provider Name | Mrs. Stacey Ann Gennis |
| First Address | Boston, MA 02115-5724 |
| Second Address | Boston, MA 02115-5724 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2021 |
| Last Update Date | 20/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.