Provider Demographics
NPI:1669522033
Name:VIOLETTE, JENNIFER MARJORIE (GNP-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARJORIE
Last Name:VIOLETTE
Suffix:
Gender:
Credentials:GNP-BC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MARJORIE
Other - Last Name:EMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:58A HOWARTH RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1902
Mailing Address - Country:US
Mailing Address - Phone:617-913-0072
Mailing Address - Fax:
Practice Address - Street 1:950 WINTER ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1424
Practice Address - Country:US
Practice Address - Phone:617-913-0072
Practice Address - Fax:781-472-8801
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29556363LG0600X
NC5021837363LG0600X
FLAPRN11034454363LG0600X
GAGAA-NP002888363LG0600X
MA204681363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology