Individual provider · Type 1 NPI
Jaclyn McGowan
Pediatric Nurse Practitioner · Boston, MA
NPI number
1144668971
Active
Practice location
55 Fruit St, Mgh Ellison 18 Pediatrics
Boston, MA 02114-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN283317 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1144668971
Jaclyn McGowan's National Provider Identifier is 1144668971, issued on Jun 14, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jun 14, 2013.