Individual provider · Type 1 NPI
Jacqueline Aimee Dall, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Boston, MA
NPI number
1376901595
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
855 Central Ave
Albany, NY 12206-1513
Other practice locations
- 855 Central Avenue, Albany, NY 12206 · (518) 434-5678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 421273 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 307572 (NY) |
| Nurse Practitioner | 363L00000X | RN2292036 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1376901595
Jacqueline Aimee Dall, NURSE PRACTITIONER's National Provider Identifier is 1376901595, issued on Feb 2, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Apr 29, 2026.