Provider Demographics
NPI:1821068354
Name:LEE, JO-ANN E (NP)
Entity Type:Individual
Prefix:MS
First Name:JO-ANN
Middle Name:E
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PERFORMANCE DR
Mailing Address - Street 2:SUITE300
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3141
Mailing Address - Country:US
Mailing Address - Phone:617-243-9552
Mailing Address - Fax:617-243-9775
Practice Address - Street 1:51 PERFORMANCE DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-1650
Practice Address - Country:US
Practice Address - Phone:781-337-5555
Practice Address - Fax:781-335-6047
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA127382363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP3917OtherBLUE SHIELD OF MA
NP3917Medicare ID - Type Unspecified
MANP3917OtherBLUE SHIELD OF MA