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Contact Information

JESSICA F CANUTO, AGNP-C
45 EDSON ST
BROCKTON, MA02302-4109
 Phone: 774-274-1882
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JESSICA F CANUTO · (Female)

NPI Number 1154134393
Status Active
Credentials AGNP-C
Entity Individual
Enumeration date 01/30/2025
Last updated 01/30/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # RN2361476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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