Individual provider · Type 1 NPI
Jennifer Forkel
Acute Care Nurse Practitioner · Boston, MA
NPI number
1275182131
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
5221 Avalon Dr W
Orange, CT 06477-3677
Other practice locations
- 1450 Chapel St, New Haven, CT 06511-4405 · (203) 789-3600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 125046 (CT) |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN2335757 (MA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN2335757 (MA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1275182131
Jennifer Forkel's National Provider Identifier is 1275182131, issued on Sep 4, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boston, MA. The record was last updated on Nov 11, 2019.