Individual
JACQUELINE MARIE BURGOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BENTLEY UNIVERSITY HEALTH CENTER, RHODES HALL 175 FOREST STREET, WALTHAM, MA 02452-0214
(781) 891-2222
Mailing address
BENTLEY UNIVERSITY HEALTH CENTER, RHODES HALL 175 FOREST STREET, WALTHAM, MA 02452
(781) 891-2222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284440
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2284440
MA
363LG0600X
Gerontology Nurse Practitioner
RN2284440
MA
363LW0102X
Women's Health Nurse Practitioner
RN2284440
MA
Other
Enumeration date
02/23/2014
Last updated
07/07/2025
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