Individual
JACLYN EMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 329-8927
Mailing address
55 FRUIT ST # 2-W, BOSTON, MA 02114-2621
(857) 329-8927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2330923
MA
363LA2100X
Acute Care Nurse Practitioner
SP015751
PA
Other
Enumeration date
02/26/2016
Last updated
08/13/2019
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