Ms. Louisa Lea Jellison
Nurse Practitioner - Neonatal
750 Washington St Box # 300
Boston
, Massachusetts 02111-1526
Ms. Louisa Lea Jellison
Nurse Practitioner - Neonatal
750 Washington St Box # 300
Boston
, Massachusetts 02111-1526
(781) 942-0115
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Ms. Louisa Lea Jellison
- 15 Carriage Ln
- Reading, MA
- Zip : 01867-1373
- Phone : (781) 942-0115
Second Address
- Ms. Louisa Lea Jellison
- 750 Washington St Box # 300
- Boston, MA
- Zip : 02111-1526
- Fax : (617) 636-9653
- Phone : (617) 636-5008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 115843 | MA |
National Provider Identifier
| NPI | 1134322936 |
|---|---|
| Provider Name | Ms. Louisa Lea Jellison |
| First Address | Reading, MA 01867-1373 |
| Second Address | Boston, MA 02111-1526 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2007 |
| Last Update Date | 08/07/2007 |
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.