Provider Demographics
NPI:1851442404
Name:HARPER, JENNIFER WOODMAN (NP-C, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:WOODMAN
Last Name:HARPER
Suffix:
Gender:F
Credentials:NP-C, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BOYLSTON ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2008
Mailing Address - Country:US
Mailing Address - Phone:617-467-6672
Mailing Address - Fax:
Practice Address - Street 1:200 BOYLSTON ST STE 301
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2008
Practice Address - Country:US
Practice Address - Phone:617-467-6672
Practice Address - Fax:617-566-2224
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262184363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110081372AMedicaid