Individual provider · Type 1 NPI
Jacqueline Marie Burgoyne, NP
Adult Health Nurse Practitioner · Waltham, MA
NPI number
1174948475
Active
Practice location
Bentley University Health Center, Rhodes Hall 175 Forest Street
Waltham, MA 02452-0214
Other practice locations
- 725 Albany Street, Shapiro 5 & 6, Boston, MA 02118 · (617) 414-5951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2284440 (MA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN2284440 (MA) |
| Women's Health Nurse Practitioner | 363LW0102X | RN2284440 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN2284440 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1174948475
Jacqueline Marie Burgoyne, NP's National Provider Identifier is 1174948475, issued on Feb 23, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Waltham, MA. The record was last updated on Jul 7, 2025.