Individual provider · Type 1 NPI

Jaclyn Alyssa Masulli, FNP-C

Family Nurse Practitioner · Greenville, SC

NPI number 1124565171 Active

Practice location

128 Millport Cir Ste 200
Greenville, SC 29607-5573

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 225 Cedar Hill St, Marlborough, MA 01752-5900 · (615) 673-4455

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN2306800 (MA)
Home Health Registered Nurse 163WH0200XRN2306800 (MA)
Family Nurse Practitioner 363LF0000X29678 (SC)

Family Nurse Practitioner: Definition to come...

32 other providers at this address

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About NPI 1124565171

Jaclyn Alyssa Masulli, FNP-C's National Provider Identifier is 1124565171, issued on Jan 30, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Oct 22, 2026.