Jude Gamanuel Adolphe Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Brockton, MA
- NPI
- 1700550217
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- RN2324231 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-08-07
- Last updated
- 2024-01-03
Practice location
30 Meadowbrook Rd
Brockton, MA 02301-7122
(508) 659-5069