Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN DESROSIERS
Active Sole ProprietorJACLYN DESROSIERS is a Gerontological Nurse Practitioner healthcare provider located in WAKEFIELD, Massachusetts. NPI 1811772585 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · WAKEFIELD, MA
Registration Details
- NPI Number
- 1811772585
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2023 (2.9652455194752 yrs)
- Last Updated
- Aug 30, 2023
- License
-
RN2264026 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
91 NAHANT STWAKEFIELD, MA, 018803333Browse MA providers · Browse ZIP 01880
- Phone
- 7812490945
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.