Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA FERNANDES CANUTO, AGNP-C
Active Sole ProprietorJESSICA FERNANDES CANUTO, AGNP-C is a Geriatric Medicine healthcare provider located in BROCKTON, Massachusetts. NPI 1154134393 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · BROCKTON, MA
Registration Details
- NPI Number
- 1154134393
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2025 (1.505811737111 yrs)
- Last Updated
- Jan 30, 2025
- License
-
RN2361476 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 EDSON STBROCKTON, MA, 023024109Browse MA providers · Browse ZIP 02302
- Phone
- 7742741882
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Other Geriatric Medicine Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. PEGGY MENTOR | MD | 1023006525 |
| DR. JEFFREY MICHAEL KOWALESKI | M.D. | 1396005310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.