Individual provider · Type 1 NPI
Mary Ellen Jagelski
Women's Health Nurse Practitioner · West Roxbury, MA
NPI number
1093115115
Active
Practice location
15 Chilton Rd
West Roxbury, MA 02132-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 127565 (MA) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1093115115
Mary Ellen Jagelski's National Provider Identifier is 1093115115, issued on Aug 26, 2014. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in West Roxbury, MA. The record was last updated on Aug 26, 2014.