Dr JAMES P ENNIS is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.
NORTHEAST MEDICAL PRACTICE INC
298 WASHINGTON ST
GLOUCESTER
MA
019304832
Tel:
| Npi | 1295286706 |
| Pac Id | 4981986676 |
| Professional Enrollment Id | I20170112000852 |
| Last Name | ENNIS |
| First Name | JAMES |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORTHEAST MEDICAL PRACTICE INC |
| Group Practice Pac Id | 2365405024 |
| Number Of Group Practice Members | 115 |
| Line 1 Street Address | 298 WASHINGTON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 019304832 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 220033 |
| Hospital Affiliation Lbn 1 | NORTHEST HOSPITAL CORPORATION |
| Hospital Affiliation Ccn 2 | 220110 |
| Hospital Affiliation Lbn 2 | BRIGHAM AND WOMEN'S HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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