Individual
MS. JACQUELINE KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP- AC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2362047
MA
363LP0222X
Critical Care Pediatric Nurse Practitioner
R213750
MD
Other
Enumeration date
11/04/2014
Last updated
06/28/2022
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