Most Relevant Information
Provider Data
| NPI Number: | 1003563511 |
| Provider Name: | OSHETISI JAMILLAH STANNEY CNP, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | RN71708 |
Most Important Dates
| Enumeration Date: | 03/04/2022 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
13 STEEPLE ST STE 202-37
MASHPEE
MA
026493287
Practice Location Phone/Fax
| Phone: | 5083757936 |
| Fax: |
Provider Mailing Location
13 STEEPLE ST STE 202-37
MASHPEE
MA
026493287
Provider Mailing Phone/Fax
| Phone: | 5083757936 |
| Fax: |