Provider Demographics
NPI:1144024506
Name:WINSPER, JENNIE ROSE
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:ROSE
Last Name:WINSPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 DORCHESTER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-2804
Mailing Address - Country:US
Mailing Address - Phone:781-325-3808
Mailing Address - Fax:
Practice Address - Street 1:962 WASHINGTON STREET
Practice Address - Street 2:ALDA AESTHETICS
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339
Practice Address - Country:US
Practice Address - Phone:781-826-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2335671163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse