Individual
MRS. JACLYN L FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGNP-C
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-5310
Mailing address
3 HAWSER LN, SWAMPSCOTT, MA 01907-1238
(508) 320-8819
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
092675-23
NH
363LA2200X
Adult Health Nurse Practitioner
RN2288964
MA
Other
Enumeration date
07/14/2020
Last updated
12/04/2023
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