Individual provider · Type 1 NPI
Jessica Kennen, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1417334129
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN269798 (MA) |
| Nurse Practitioner | 363L00000X | 269798 (MA) |
| Pediatric Registered Nurse | 163WP0200X | 269798 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1417334129
Jessica Kennen, CPNP's National Provider Identifier is 1417334129, issued on May 1, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on May 15, 2026.