Jennifer Lynn Gustafson, CNP
NPI #1013479609 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1013479609
- Entity Type
- Individual
- Name
- Jennifer Lynn Gustafson, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 55 LAKE AVE N
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01655-0002
- Phone
- (774) 443-7552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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