Provider Demographics
NPI:1265678536
Name:JURENA, CHRISTIE LYN (MPH, RN, MS, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:LYN
Last Name:JURENA
Suffix:
Gender:F
Credentials:MPH, RN, MS, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 LYNNFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1419
Mailing Address - Country:US
Mailing Address - Phone:781-595-4800
Mailing Address - Fax:
Practice Address - Street 1:480 LYNNFIELD ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1419
Practice Address - Country:US
Practice Address - Phone:781-595-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA278008363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology