Provider Demographics
NPI:1467294462
Name:ABAZORIUS, JENNIFER NOELLE (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:NOELLE
Last Name:ABAZORIUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:NOELLE
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN, RN
Mailing Address - Street 1:9 VILLAGE INN RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1643
Mailing Address - Country:US
Mailing Address - Phone:833-397-3328
Mailing Address - Fax:
Practice Address - Street 1:28 LIBERTY CIR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-3872
Practice Address - Country:US
Practice Address - Phone:508-364-3875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2270485163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse