Individual
JACQUELYN KATE CHENELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 WASHINGTON ST, NEWTON, MA 02462-1650
(617) 969-1227
Mailing address
8 MAPLEHURST RD, LITTLETON, MA 01460-1972
(978) 496-6158
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
PA6184
MA
363AM0700X
Medical Physician Assistant
PA6184
MA
Other
Enumeration date
07/23/2017
Last updated
01/24/2025
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