Provider Demographics
NPI:1538699087
Name:FURBEE, JENNY REBECCA
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:REBECCA
Last Name:FURBEE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:REBECCA
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 MILL ROAD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:363 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3703
Practice Address - Country:US
Practice Address - Phone:508-973-7109
Practice Address - Fax:508-973-7169
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical