Individual
MRS. MORIAH KATE JACOBELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST # STREET8, BOSTON, MA 02114-2621
(617) 724-0800
(617) 726-5804
Mailing address
55 FRUIT ST # STREET8, BOSTON, MA 02114-2621
(617) 724-0800
(617) 726-5804
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN280798
MA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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