Provider Demographics
NPI:1811665938
Name:FLOWERS, JESSICA L (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAGUIRE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-3114
Mailing Address - Country:US
Mailing Address - Phone:781-860-1700
Mailing Address - Fax:781-860-1766
Practice Address - Street 1:1 MAGUIRE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-3114
Practice Address - Country:US
Practice Address - Phone:781-860-1700
Practice Address - Fax:781-860-1766
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2266961363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health