Provider Demographics
NPI:1518728617
Name:BOYLE, JEANNE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:MARIE
Last Name:BOYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1637
Mailing Address - Country:US
Mailing Address - Phone:617-893-7433
Mailing Address - Fax:
Practice Address - Street 1:255 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1637
Practice Address - Country:US
Practice Address - Phone:617-893-7433
Practice Address - Fax:857-290-9144
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110022163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation