Provider Demographics
NPI:1245105543
Name:ZAZA, GESSIE (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:GESSIE
Middle Name:
Last Name:ZAZA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:GESSIE
Other - Middle Name:
Other - Last Name:GUSTAVE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26 MARA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072
Mailing Address - Country:US
Mailing Address - Phone:508-203-0017
Mailing Address - Fax:
Practice Address - Street 1:26 MARA CIRCLE
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072
Practice Address - Country:US
Practice Address - Phone:508-203-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAW274741163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice