Individual
ALYSSA JACAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(401) 300-2441
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
2339814
MA
363L00000X
Nurse Practitioner
Primary
2339814
MA
363L00000X
Nurse Practitioner
Primary
RN2339814
MA
Other
Enumeration date
03/03/2022
Last updated
04/12/2026
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