Provider Demographics
NPI:1871349217
Name:RAYMOND, JENNIFER AIMEE (RN)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:AIMEE
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HIRAM RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-2608
Mailing Address - Country:US
Mailing Address - Phone:508-450-6291
Mailing Address - Fax:
Practice Address - Street 1:10 HIRAM RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-2608
Practice Address - Country:US
Practice Address - Phone:508-450-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN284476163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health