Individual provider · Type 1 NPI
Jennifer Rose Bertolon, CPNP, RN
Pediatric Nurse Practitioner · Beverly, MA
NPI number
1104171321
Active
Practice location
245 Dodge St
Beverly, MA 01915-1275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2269678 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20121422 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104171321
Jennifer Rose Bertolon, CPNP, RN's National Provider Identifier is 1104171321, issued on Jul 14, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Beverly, MA. The record was last updated on Jul 14, 2012.