Individual provider · Type 1 NPI

Jacqueline Regis, CPNP-AC/PC

Pediatric Nurse Practitioner · Boston, MA

NPI number 1073029930 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-6363 Map

Other practice locations

  • 450 Brookline Ave, Boston, MA 02215-5418 · (617) 632-3270

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN283145 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1073029930

Jacqueline Regis, CPNP-AC/PC's National Provider Identifier is 1073029930, issued on Dec 14, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Apr 22, 2025.